Search › Georgia › 363A00000X
Brandon Ellis, PA-C
NPI 1013709336 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1104 Elm Grove Ave
Gainesville, GA 30501 - Phone
- (850) 450-0002
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia