Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Ellis, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689388480

Amanda Ellis, PA is a Physician Assistant in Knoxville, Tennessee. Graduated from Yale University School of Medicine in 2023, 3 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Nevada and Tennessee.

Years since qualifying
3
Trained at
Yale University School of Medicine
Licensed in
NV, TN
In the registry since
2023
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone: (865) 218-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6356 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Medical Physician Assistant Taxonomy 363AM0700X
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN88608 (NV)

Record details

NPI number1689388480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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