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

Paul W Ellis, PA

Individual provider Physician Assistant · NPI 1174594873

Paul W Ellis, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2002, 24 years ago. Practices with Orthocarolina, PA, a 301-clinician group and works from 3 locations. Licensed in Illinois and North Carolina.

Years since qualifying
24
Licensed in
IL, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2001 Randolph Rd
Charlotte, NC 28207-1215
Phone: (704) 323-2000
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 (2)

  • 120 Spalding Dr, Naperville, IL 60540-6508 — (630) 967-2225
  • 2001 Randolph Rd, Charlotte, NC 28207-1215 — (704) 323-2225

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07620 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 085-001823 (IL)

Record details

NPI number1174594873
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

Other providers in Charlotte