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

Ellen Christine Hibberts, PA

Individual provider Medical Physician Assistant · NPI 1245801851

Ellen Christine Hibberts, PA is a Physician Assistant in Lake Wylie, South Carolina. Qualified in 2021, 5 years ago. Practices with Caromont Medical Group Inc, a 417-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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

1201 Village Harbor Dr Ste 104
Lake Wylie, SC 29710-9276
Phone: (803) 831-6859
Show map & directions

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

Additional practice locations (1)

  • 104 Rustic Hills Cir, Bessemer City, NC 28016-9545 — (704) 689-8189

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1245801851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 6, 2021
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Caromont Medical Group Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare