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

Ellen Davis

Individual provider Surgical Physician Assistant · NPI 1194384362

Ellen Davis is a Physician Assistant in Lakeland, Florida. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group and accepts Medicare assignment. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

130 Pablo St
Lakeland, FL 33803-3818
Phone: (863) 284-5906
Fax: (863) 284-5149
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9112245 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1194384362
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2019
Last updated in NPPESNovember 13, 2019
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Lakeland, FL 33805-4543

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lakeland