Mrs. Shannon M Ellis, PA-C
Mrs. Shannon M Ellis, PA-C is a Physician Assistant in Southern Pines, North Carolina. Qualified in 2019, 7 years ago. Practices with Pinehurst Medical Clinic Inc, a 160-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 7
- Licensed in
- NC
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
200 Pavilion WaySouthern Pines, NC 28387-4561
Phone: (910) 235-3204
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 — (910) 295-7546
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0010-09344 (NC) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 001009344 (NC) |
Record details
| NPI number | 1841848678 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 26, 2019 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | August 21, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Pinehurst Medical Clinic Inc — 160 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Southern Pines
-
Shelby Johnson, PA-C
200 Pavilion Way, Southern Pines, NC 28387-4561 · (910) 246-4140
-
Kate McBride, PA-C
200 Pavilion Way, Southern Pines, NC 28387-4561 · (910) 246-4140