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

Logan William Ellis

Individual provider Physician Assistant · NPI 1952999294

Logan William Ellis is a Physician Assistant in Greenville, South Carolina. Qualified in 2020, 6 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
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Practice location Address checks out

200 Patewood Dr Ste C300
Greenville, SC 29615-6324
Phone: (864) 908-0122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952999294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 4, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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