Bonnie Elizabeth Ellzey, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Rockingham, NC
NPI 1972129609 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1972129609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5024552 (NC)
- Practice address
- 1262 E Broad Ave
Rockingham, NC 28379-4902 - Phone
- (910) 817-9200
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crossroads Urgent Care PLLC
Convenient Care Clinic LLC
Practice addresses (Care Compare)
2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900
3040 Goodman Rd W
Horn Lake, MS 38637-1189
Phone (662) 280-3428
397 New Byhalia Rd
Collierville, TN 38017-3705
Phone (901) 860-0536
555 Hwy 6 E
Batesville, MS 38606
Phone (662) 578-2030
7860 Wolf River Blvd
Germantown, TN 38138-1712
Phone (901) 390-4300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MS, MD, VA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210216000403 | MS | Practitioner - Nurse Practitioner | 6709291206 | Reassigns benefits to 3 organizations |
| I20230718002565 | MD | Practitioner - Nurse Practitioner | 6709291206 | Reassigns benefits to 1 organization |
| I20230721002137 | VA | Practitioner - Nurse Practitioner | 6709291206 | Reassigns benefits to 1 organization |
| I20250606000937 | TN | Practitioner - Nurse Practitioner | 6709291206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902486 | MS | MD | Medical-Surgical Registered Nurse |
| 904198 | MS | MD | Family Medicine Physician |
| 30309 | TN | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Mississippi, PLLC | Multi-Specialty | Current |
Accepting new patients |
| Fastmed P.C. | Multi-Specialty | Current |
Accepting new patients |
| Community Care Health Network LLC | Multi-Specialty | Current |
Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Multi-Specialty | Current |
Accepting new patients |
| Fast Pace Mississippi, PLLC | Current |
Accepting new patients | |
| Convenient Care Clinic, LLC | Multi-Specialty | Current |
Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current |
Accepting new patients |
| Crossroads Urgent Care PLLC | Multi-Specialty | Current |
Accepting new patients |
| Medexpress Urgent Care, PC - Maryland | Family Medicine | Current |
Accepting new patients |
| Medexpress Urgent Care, PC - Maryland | Multi-Specialty | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Maryland | Current |
Accepting new patients | |
| Convenient Care Clinic, LLC | Multi-Specialty | Current |
Accepting new patients |
| Crossroads Urgent Care PLLC | Multi-Specialty | Current |
Accepting new patients |
| Urgent Team Management of Golden Triangle, LLC | Multi-Specialty | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254
555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030
115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101
3040 Goodman Rd W
Horn Lake, MS 38637
Phone (662) 230-3420
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
5080 Kahn Dr
Lumberton, NC 28358
Phone (910) 738-5588
1262 E Broad Ave
Rockingham, NC 28379
Phone (910) 817-9200
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 902486 | MS | |
| Family Medicine Physician | 207Q00000X | 904198 | MS | |
| Family Nurse Practitioner | 363LF0000X | 5024552 | NC | Yes |
| Adult Medicine Physician |
207QA0505X | 904198 | MS | |
| Family Nurse Practitioner | 363LF0000X | 904198 | MS |
Addresses
Primary practice location
1262 E Broad Ave
Rockingham, NC 28379-4902
Mailing address
3715 Cypress Plantation Dr
Olive Branch, MS 38654-7640
Phone (901) 674-4161
Other practice location 1
201 Stateline Rd W Ste 5A
Southaven, MS 38671-1600
Phone (662) 253-8959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30309 | Other | TN | TN BOARD OF NURSING |
| 904198 | Other | MS | MS BOARD OF NURSING |
Other providers in Rockingham, NC
- Eckerd Corporation
- Education 1St Academy LLC
- Jabon Efird
- Patrick Eyaye Egbe
- Hazem El-Droubi
- Elven C Smith III
- Endurance Services LLC Linda Hough
- Enhance Care LLC
- Enhanced Counseling Solutions, PLLC
- Enrollhere, Inc.
All providers in Rockingham, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.