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BRANDON LEE ELLIS PA-C
NPI 1013709336
Physician Assistant in Gainesville, GA

Active since May 21, 2025
1104 ELM GROVE AVE, GAINESVILLE, GA 30501(850) 450-0002 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, May 21, 2025 (2 updates tracked since 2025).

About Brandon Lee Ellis Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON LEE ELLIS PA-C (NPI 1013709336) is an individual physician assistant in Gainesville, Georgia and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1013709336
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRANDON LEE ELLISCredential: PA-C
Location Address1104 ELM GROVE AVEGainesville, GA 30501-3901
Mailing Address1104 Elm Grove AveGainesville, GA 30501-3901 · (850) 450-0002
Phone(850) 450-0002
Sole ProprietorYes
Enumeration DateMay 21, 2025
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1013709336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1104 ELM GROVE AVE, Gainesville, GA 30501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Ellis's NPI number?

The NPI number for Brandon Ellis is 1013709336. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Brandon Ellis located?

Brandon Ellis practices at 1104 Elm Grove Ave, Gainesville, GA 30501. The listed phone number is (850) 450-0002.

What is Brandon Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brandon Ellis was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.