Individual provider Active NPI

CHI Jane Ellison, M.D.

  • Pulmonary Disease Physician
  • Greensboro, NC
National Provider Identifier
1376982876
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2017-01177 Issued in NC
Practice address
3511 W Market St
Greensboro, NC 27403-4443
Phone
(336) 522-8999
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2017-01177 NC
Pulmonary Disease Physician 207RP1001X 2017-01177 NC Primary

Addresses

Primary practice location

3511 W Market St
Greensboro, NC 27403-4443

Mailing address

3511 W Market St
Greensboro, NC 27403-4443
Phone (336) 522-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612000816 NC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8820321508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating Corporation 724 clinicians
Moses Cone Medical Services Inc 214 clinicians

Practice addresses (Care Compare)

1331 N Elm St
Suite 300
Greensboro, NC 27401-6303
Phone (336) 832-7700

3518 Drawbridge Pkwy
Suite 220
Greensboro, NC 27410-8432
Phone (336) 890-3072

520 N Elam Ave
Greensboro, NC 27403-1127
Phone (336) 547-1700

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-01177NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Jul 22, 2019 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince May 1, 2023 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jul 22, 2019 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 11, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Sep 11, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 1, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

1331 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 832-7700

3518 Drawbridge Pkwy
Ste 330
Greensboro, NC 27410
Phone (336) 890-3072

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

3511 W Market St
Greensboro, NC 27403
Phone (336) 522-8999

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

3518 Drawbridge Pkwy
Ste 220
Greensboro, NC 27410
Phone (336) 890-3020

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: jellison478167@direct.conehealth.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1376982876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034443",
            "telephone_number": "336-522-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034443",
            "telephone_number": "336-522-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "CHI JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2017-01177",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2017-01177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.