Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336077205 Individual Practitioner Male Practitioner

Jared Michael Ellis , LPN

Licensed Practical Nurse • Charlotte, NC

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jared Ellis, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Charlotte, NC. Official NPI practice address is registered at 10660 PARK RD STE 3400.

Practice Location & Contact Primary Location

Practice Address

10660 Park Rd Ste 3400

Charlotte, NC 282108461

Telephone 7046673840
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Charlotte, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Charlotte, NC (706 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-11
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License SC 57164

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Richard Shugoll , MD

Internal Medicine - Cardiovascular Disease

NPI 1063454049

Doctor of Medicine (M.D.)

Stacy Ballard , NP

Nurse Practitioner - Acute Care

NPI 1063976421

Nurse Practitioner

Laura Winters , APRN, NP-C

Nurse Practitioner - Family

NPI 1083023899

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Dr. Neel Patel , MD

Internal Medicine - Cardiovascular Disease

NPI 1104246115

Doctor of Medicine (M.D.)

Dr. Zachary Zuzek , MD

Internal Medicine - Cardiovascular Disease

NPI 1114423761

Doctor of Medicine (M.D.)

Corey Guess , FNP

Nurse Practitioner - Family

NPI 1144329251

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 11, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2026

Registered at 10660 PARK RD STE 3400, CHARLOTTE, NC 282108461 (Tel: 7046673840)

📍
Updated Business Mailing Address May 11, 2026

Registered at 716 CODY CT, FORT MILL, SC 297157092 (Tel: 2342814781)

👤
Provider Name / Credentials Updated May 11, 2026

Recorded as JARED ELLIS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2026

Licensed Practical Nurse (License #57164 in SC)

🟢
Initial NPI Registration & Enumeration May 11, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jared Ellis. Be the first to share your experience!

Sign in to leave a review for Jared Ellis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336077205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2026
Last Update: May 11, 2026
Sole Proprietor: No

Mailing Address

716 Cody Ct

Fort Mill, SC 297157092

Phone: 2342814781

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.