LOGAN WILLIAM ELLIS
NPI 1952999294
Physician Assistant in Greenville, SC

Active since January 04, 2021PECOS EnrolledAccepts Medicare Assignment
200 PATEWOOD DR STE C300, GREENVILLE, SC 29615(864) 908-0122 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2021, Jan 4, 2021 (2 updates tracked since 2021).

About Logan William Ellis NPPES

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

LOGAN WILLIAM ELLIS (NPI 1952999294) is an individual physician assistant in Greenville, South Carolina and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Pelham Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952999294
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLOGAN WILLIAM ELLIS
Location Address200 PATEWOOD DR STE C300Greenville, SC 29615-6324
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (803) 434-1335
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 4, 2021
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
NPI 1952999294 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.

200 PATEWOOD DR STE C300, Greenville, SC 29615

Other Identifiers 1

Other1175810Nccpa

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Logan William Ellis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648675512
PECOS Enrollment IDI20210817000281
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615
Pharmacist
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615
Podiatrist (Foot & Ankle Surgery)
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615
Transplant Surgery
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615
Surgery (Vascular Surgery)
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615
Physician Assistant
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615
Internal Medicine
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615
Surgery (Vascular Surgery)
200 PATEWOOD DR STE C300
GREENVILLE, SC 29615

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 Logan Ellis's NPI number?

The NPI number for Logan Ellis is 1952999294. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Logan Ellis located?

Logan Ellis practices at 200 Patewood Dr Ste C300, Greenville, SC 29615. The listed phone number is (864) 908-0122.

What is Logan Ellis's specialty?

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

Is Logan Ellis enrolled in Medicare?

Yes. Logan Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Logan Ellis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and UnitedHealthcare list Logan Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Logan Ellis affiliated with any hospitals?

According to CMS data, Logan Ellis is affiliated with Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Logan Ellis was last updated on August 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.