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

Benjamin Hayes Ezell, PA

Individual provider Medical Physician Assistant · NPI 1174343073

Benjamin Hayes Ezell, PA is a Medical Physician Assistant in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2244 Boones Creek Rd
Johnson City, TN 37615-4432
Phone: (423) 753-4000
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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 6207 (TN)

Record details

NPI number1174343073
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateSeptember 16, 2024

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