Active NPI
CHI Jane Ellison, M.D.
- Pulmonary Disease Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2017-01177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190612000816 | NC | Practitioner - Internal Medicine | 8820321508 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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 CorporationMoses Cone Medical Services Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-01177 | NC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Medical Services, Inc. | Pulmonary Disease | Current | Accepting new patients |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | 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
- 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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
NC, Pulmonary Disease
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
NC
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NC
-
- Maternal & Fetal Medicine Physician
- Greensboro, NC
- NPI 1891351847
-
- Ambulatory Surgical Clinic/Center
- Greensboro, NC
- NPI 1194744532
-
- Family Medicine Physician
- Browns Summit, NC
- NPI 1417383837
-
- Multi-Specialty Clinic/Center
- Greensboro, NC
- NPI 1265589097
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
-
- Psychiatric Hospital Unit
- Greensboro, NC
- NPI 1295848562
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1386904886
-
- Skilled Nursing Facility
- Reidsville, NC
- NPI 1407966864
-
- Family Medicine Physician
- High Point, NC
- NPI 1801137435
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.