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

Avery Louise Elloway, PA-C

Individual provider Medical Physician Assistant · NPI 1194495176

Avery Louise Elloway, PA-C is a Medical Physician Assistant in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2750 Owens Rd SW
Conyers, GA 30094-3991
Phone: (678) 413-4644
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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 11573 (GA)

Record details

NPI number1194495176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 20, 2021
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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