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

Andrea Ellis

Individual provider Primary Care Nurse Practitioner · NPI 1629472550

Andrea Ellis is a Nurse Practitioner in Aiken, South Carolina. Qualified in 2014, 12 years ago. Practices with Health Providers of America LLC, a 97-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2014

Practice location Address checks out

3000 Woodside Executive Ct
Aiken, SC 29803-3831
Phone: (803) 226-0343
Fax: (803) 226-0584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 18950 (SC)

Record details

NPI number1629472550
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address3000 Woodside Executive Ct, Aiken, SC 29803-3831

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Health Providers Of America Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Aiken