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

Tina R Ellison, PA-C

Individual provider Physician Assistant · NPI 1033196571

Tina R Ellison, PA-C is a Physician Assistant in Palm Coast, Florida. Qualified in 2010, 16 years ago. Practices with Florida Hospital Healthcare Partners, Inc, a 605-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
16
Licensed in
FL, OH
In the registry since
2005
Specialties on file
2
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

61 Memorial Medical Pkwy Ste 1-800A
Palm Coast, FL 32164-5983
Phone: (386) 302-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2626 Care Dr Ste 105, Tallahassee, FL 32308-4489 — (850) 402-3104

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117754 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 50-001637 (OH)

Record details

NPI number1033196571
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Florida Hospital Healthcare Partners, Inc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Palm Coast