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

Mrs. Lani Ellis, PA-C

Individual provider Physician Assistant · NPI 1821490996

Mrs. Lani Ellis, PA-C is a Physician Assistant in Bolivia, North Carolina. Works from 9 locations. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2014
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

584 Hospital Dr NE Unit C
Bolivia, NC 28422
Phone: (910) 721-4100
Fax: (910) 721-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • Novant Health Oceanside Family Medicine, Bolivia, NC 28422-9047 — (910) 721-4100
  • 309 Progress Dr, Burgaw, NC 28425-3280 — (910) 259-0668
  • 2700 N College Rd, Wilmington, NC 28405-8816 — (910) 790-9949
  • 615 Shipyard Blvd, Wilmington, NC 28412-6431 — (910) 343-0145
  • 1307 Market St, Wilmington, NC 28401-4331 — (910) 790-9949
  • 613 Shipyard Blvd, Wilmington, NC 28412-6492 — (910) 202-5709
  • 555 Halyburton Memorial Pkwy, Wilmington, NC 28412-3094 — (910) 790-9949
  • 4005 Oleander Dr, Wilmington, NC 28403-6816 — (910) 790-9949

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07945 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0110004612 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 110004612 (VA)

Record details

NPI number1821490996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2014
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

Other providers in Bolivia