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

Ellery Laird, PA-C

Individual provider Physician Assistant · NPI 1558826719

Ellery Laird, PA-C is a Physician Assistant in Knoxville, Tennessee. Qualified in 2018, 8 years ago. Practices with Medadvance PLLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Michigan and Tennessee.

Years since qualifying
8
Licensed in
CA, MI, TN
In the registry since
2019
Specialties on file
3
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

6216 Highland Place Way Ste 102
Knoxville, TN 37919-4068
Phone: (865) 888-9958
Fax: (440) 582-3171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 77 Moraga Way Ste G, Orinda, CA 94563-3019 — (925) 254-6710

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6499 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 5601009995 (MI)
Physician Assistant Taxonomy 363A00000X · Licence PA56519 (CA)

Record details

NPI number1558826719
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 1, 2019
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Medadvance Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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