Milton Barry Ellis, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

38757 Issued in NC

Practice address

708 S South St Ste 300
Mount Airy, NC 27030-4589

Phone

(336) 838-7758

Fax

(336) 838-9790

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1306804869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S SOUTH ST STE 300",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304589",
            "telephone_number": "336-673-3125",
            "fax_number": "336-838-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S SOUTH ST STE 300",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304589",
            "telephone_number": "336-838-7758",
            "fax_number": "336-838-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MILTON",
        "middle_name": "BARRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "38757",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "38757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00099783",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930638",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason W Edsall, M.D.
• Clinton Jamie Edwards, MA, M.ED, LCAS, CSI
• Regina Louise Edwards, BSW, MS, CRC, CCM
• Ica Draughn Eldridge, NC LMBT# 12464
• Susan Floyd Elium, PMHNP
• Equality in Action
• Eraj Holdings, LLC
• Laurie Elizabeth Ervin, CCC-SLP
• Jennifer M Evans, LCSW
• Steven Ray Evans, PA-C

• Otolaryngology Physician in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.