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

Kezia Lynnette Ellison, MD

Individual provider Family Medicine Physician · NPI 1407412232

Kezia Lynnette Ellison, MD is a Family Practice in Hagerstown, Maryland. Qualified in 2019, 7 years ago. Practices with Privia Care Center LLC, a 287-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11110 Medical Campus Rd Ste 200
Hagerstown, MD 21742-6797
Phone: (301) 790-9240
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D094743 (MD)

Record details

NPI number1407412232
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2019
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Privia Care Center Llc — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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