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STEPHEN THOMAS ELLIS
NPI 1013733575
Physician Assistant in Holly Springs, GA

Active since December 02, 2024PECOS Enrolled
100 HOLLY PARK CT APT 6308, HOLLY SPRINGS, GA 30115(770) 380-2334 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Thomas Ellis NPPES

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

STEPHEN THOMAS ELLIS (NPI 1013733575) is an individual physician assistant in Holly Springs, Georgia and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013733575
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHEN THOMAS ELLIS
Location Address100 HOLLY PARK CT APT 6308Holly Springs, GA 30115-0226
Mailing Address100 Holly Park Ct Apt 6308Holly Springs, GA 30115-0226 · (770) 380-2334
Phone(770) 380-2334
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 1, 2024
✔ NPI 1013733575 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.
100 HOLLY PARK CT APT 6308, Holly Springs, GA 30115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Thomas Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173091014
PECOS Enrollment IDI20260508000844
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephen Ellis's NPI number?

The NPI number for Stephen Ellis is 1013733575. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Stephen Ellis located?

Stephen Ellis practices at 100 Holly Park Ct Apt 6308, Holly Springs, GA 30115. The listed phone number is (770) 380-2334.

What is Stephen Ellis's specialty?

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

Is Stephen Ellis enrolled in Medicare?

Yes. Stephen Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Ellis was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.