Individual provider Active NPI

Emily Noelle Ellington, CNM

  • Advanced Practice Midwife
  • Matthews, NC
National Provider Identifier
1407523772
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 300
Matthews, NC 28105-5332
Phone
(704) 321-1077
NPI assigned
Aug 25, 2021
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 300
Matthews, NC 28105-5332

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eellington852097@direct.novanthealth.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015002052 NC Practitioner - Certified Nurse Midwife (CNM) 3577961978 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
804NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 4, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 7, 2021 Accepting new patients
NMG Health Services, LLC CurrentSince Dec 3, 2022 Accepting new patients
NMG Health Services, LLC CurrentSince Dec 3, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 7, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1955 S US 29 Hwy
China Grove, NC 28023
Phone (704) 210-7790

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: eellington852097@direct.novanthealth.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1407523772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 300",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055332",
            "telephone_number": "704-321-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "EMILY",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eellington852097@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1450 Matthews Township Pkwy Ste 300",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.