DR. AARON GREGORY ELLISON (NPI# 1730154659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730154659 |
| Entity Type | Individual |
| Full Name | DR. AARON GREGORY ELLISON |
| Credential | MD |
| Practice Address |
9908 Couloak Dr Suite 202 Charlotte NC 28216-8678 |
| Mailing Address |
Po Box 601067 Charlotte NC 28260-1067 |
| Practice Telephone | 7048013050 |
| Practice Fax Number | 7048013026 |
| Mailing Telephone | 7048013050 |
| Mailing Fax Number | 7048013026 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2004-00205 | NC | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2004-00205 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1730154659 | 05 | |
| NC | 5903142 | 05 |
| Street Address |
9908 COULOAK DR SUITE 202 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-8678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828516 | Marlar Vollbrecht | Nurse Practitioner | 9908 Couloak Dr, Ste 202, Charlotte, NC 28216-8678 | 2005-08-15 |
| 1306378922 | Laura Elhage | Pediatrics | 9908 Couloak Dr, Ste 103, Charlotte, NC 28216-8678 | 2017-04-02 |
| 1457714446 | Chantel Styles | Family Medicine | 9908 Couloak Dr, Ste 202, Charlotte, NC 28216-8678 | 2016-03-29 |
| 1629485602 | Harpreet Kaur Singh | Physical Therapist | 9908 Couloak Dr, Charlotte, NC 28216 | 2014-07-22 |
| 1578887972 | Northcross Obstetric and Gynecologic Associates | Obstetrics & Gynecology | 9908 Couloak Dr, Suite 201, Charlotte, NC 28216-8678 | 2010-03-15 |
| 1619203791 | South Lake Pediatrics | Pediatrics | 9908 Couloak Dr, Ste 103, Charlotte, NC 28216-8678 | 2009-10-26 |
| 1326374307 | Riverbend Family Physicians | Family Medicine | 9908 Couloak Dr, Ste 202, Charlotte, NC 28216-8678 | 2009-10-26 |
| 1689745820 | Teri A Brown | Pediatrics | 9908 Couloak Dr, Suite 103, Charlotte, NC 28216-8678 | 2006-11-10 |
| 1043395585 | Joseph Pinckney Jr. | Family Medicine | 9908 Couloak Dr, Ste 202, Charlotte, NC 28216-8678 | 2006-10-25 |
| 1245349497 | Kelley Rouse | Obstetrics & Gynecology | 9908 Couloak Dr, Ste 201, Charlotte, NC 28216-8678 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1457986515 | Queens University of Charlotte | Family Medicine | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2020-03-10 |
| 1336680388 | Johnson C. Smith University | Family Medicine | 100 Beatties Ford Rd, Charlotte, NC 28216-5302 | 2017-03-10 |
| 1285868117 | Augustus Garland Parker Iv | Family Medicine | 5815 Blakeney Park Dr, Suite 200 B, Charlotte, NC 28277-5731 | 2009-05-06 |
| 1700046547 | Anthony Martin Jr. | Family Medicine | 2001 Vail Ave, Ste 400, Charlotte, NC 28207-1248 | 2008-06-16 |
| 1598970840 | Catherine Rainbow | Family Medicine | 14214 Ballantyne Lake Rd, Suite 150b, Charlotte, NC 28277-3372 | 2007-05-11 |
| 1336181452 | Novant Medical Group Inc | Family Medicine | 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
| 1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
| 1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
| 1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
| 1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
| 1962637926 | Thomas Joseph Thekkekandam | Family Medicine | 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 | 2009-05-20 |
| 1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
| 1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
| 1700933884 | John Edward Siegel | Family Medicine | 1001 E. Fifth St., East Carolina Univ., Greenville, NC 27858 | 2007-01-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.