Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey Coldiron Ellis, PA-C

Individual provider Physician Assistant · NPI 1730813841

Casey Coldiron Ellis, PA-C is a Physician Assistant in Fort Bragg, North Carolina. Graduated from University of Nebraska College of Medicine in 2022, 4 years ago. Practices with Pinehurst Medical Clinic Inc, a 160-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Trained at
University of Nebraska College of Medicine
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

Womack 2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12477 (NC)

Record details

NPI number1730813841
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 13, 2022
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Pinehurst Medical Clinic Inc — 160 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Bragg