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

Mr. Leland Calvin Ellis Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1386749695

Mr. Leland Calvin Ellis Jr., PA-C is a Physician Assistant in Winterville, North Carolina. Qualified in 2003, 23 years ago. Practices with Wintergreen Medical Center PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

324A Beacon Dr
Winterville, NC 28590-7956
Phone: (252) 551-5595
Fax: (252) 321-7762
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 103962 (NC)

Record details

NPI number1386749695
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJune 3, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Wintergreen Medical Center Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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