Leland C Ellis (NPI# 1386749695, PAC ID# 3971574690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386749695 |
| PAC ID by PECOS | 3971574690 |
| Professional Enrollment ID | I20040804001569 |
| Full Name | Leland C Ellis |
| Organization Legal Name | WINTERGREEN MEDICAL CENTER PLLC |
| Address |
324 A Beacon Dr Winterville NC 28590-7956 |
| Phone Number | 2525515595 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365539582 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 324 A Beacon Dr, Winterville, NC 28590-7956 | 2525515595 | WINTERGREEN MEDICAL CENTER PLLC |
| Organization Legal Name | WINTERGREEN MEDICAL CENTER PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Gates | Nurse Practitioner | Wintergreen Medical Center Pllc | 324 A Beacon Dr, Winterville, NC 28590-7956 |
| Robert D Barwick | Physician Assistant | Wintergreen Medical Center Pllc | 324 A Beacon Dr, Winterville, NC 28590-7956 |
| Leslie Chipley Sexton | Physician Assistant | Wintergreen Medical Center Pllc | 324 A Beacon Dr, Winterville, NC 28590-7956 |
| Street Address |
324 A BEACON DR |
| City | WINTERVILLE |
| State | NC |
| Zip | 28590-7956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Gates | Nurse Practitioner | Wintergreen Medical Center Pllc | 324 A Beacon Dr, Winterville, NC 28590-7956 |
| Robert D Barwick | Physician Assistant | Wintergreen Medical Center Pllc | 324 A Beacon Dr, Winterville, NC 28590-7956 |
| Leslie Chipley Sexton | Physician Assistant | Wintergreen Medical Center Pllc | 324 A Beacon Dr, Winterville, NC 28590-7956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah C Mccall | Physical Therapy | Peak Performance Sports and Physical Therapy LLC | 740 W Fire Tower Rd, Suite 113, Winterville, NC 28590-8411 |
| Kara Kosco | Physical Therapy | Peak Performance Sports and Physical Therapy LLC | 740 W Fire Tower Rd, Suite 113, Winterville, NC 28590-8411 |
| James M O Donahue Jr. | Chiropractic | 915 E Fire Tower Rd, Suite 104, Winterville, NC 28590-9398 | |
| Shirley H Patel | Family Medicine | Physicians East Pa | 4796 Old Tar Rd, Winterville, NC 28590-9752 |
| Meena P Murphy | Internal Medicine | Physicians East Pa | 4796 Old Tar Rd, Winterville, NC 28590-9752 |
| Fan Zhou | Family Practice | Physicians East Pa | 4796 Old Tar Rd, Winterville, NC 28590-9752 |
| City | WINTERVILLE |
| Zip Code | 28590 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WINTERVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Leland C Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.