Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ellis Franklin Fort III, PA-C

Individual provider Physician Assistant · NPI 1497060396

Mr. Ellis Franklin Fort III, PA-C is a Physician Assistant in New Smyrna Beach, Florida. Qualified in 2009, 17 years ago. Practices with Mdpa Solutions Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2010
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

502 Palmetto St
New Smyrna Beach, FL 32168
Phone: (386) 957-1854
Fax: (386) 878-4967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105205 (FL)

Record details

NPI number1497060396
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2010
Last updated in NPPESMay 30, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mdpa Solutions Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Smyrna Beach