Doctor profile · Federal record

Dr. Lani Ellis, P.A.-C

Physician Assistant · Physician Assistant · Medical Physician Assistant · Bolivia, NC

  • NPI 1821490996
  • 12 yrs on file
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 9 locations across 1 states.

NPPES Updated May 11, 2026
Primary practice
584 Hospital Dr Ne Unit C
Bolivia, NC 28422
(910) 721-4100
fax (910) 721-4101
Mailing address
615 Shipyard Blvd
Wilmington, NC 284126431
North Carolina — 8 locations
Additional location
1307 Market St
Wilmington, NC 284014331
(910) 790-9949
fax (910) 202-9966
Additional location
2700 N College RD
Wilmington, NC 284058816
(910) 790-9949
Additional location
309 Progress Dr
Burgaw, NC 284253280
(910) 259-0668
fax (910) 202-9966
Additional location
4005 Oleander Dr
Wilmington, NC 284036816
(910) 790-9949
fax (910) 202-9966
Additional location
555 Halyburton Memorial Pkwy
Wilmington, NC 284123094
(910) 790-9949
fax (910) 202-9966
Additional location
613 Shipyard Blvd
Wilmington, NC 284126492
(910) 202-5709
fax (910) 202-9966
Additional location
615 Shipyard Blvd
Wilmington, NC 284126431
(910) 343-0145
fax (910) 202-9966
Additional location
Novant Health Oceanside Family Medicine, 584 Hospital Dr Ste C
Bolivia, NC 284229047

Credentials & registration

NPPES · NUCC
NPI registered
September 2014 — 12 yrs on file
Profile last updated
August 30, 2022
Specialty taxonomy
363A00000X — NUCC code
State licenses (3)
North Carolina #0010-07945 · Virginia #0110004612 · Virginia #110004612

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1821490996. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$18
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Hologic Sales and Service, LLC 1 $17.96

By nature of payment

Food and Beverage
$18

Frequently asked questions

Auto-generated from federal data
What is Dr. Lani Ellis's medical specialty?
Dr. Lani Ellis practices Physician Assistant in Bolivia, NC.
Where does Dr. Lani Ellis practice?
Dr. Lani Ellis practices at 584 Hospital Dr Ne Unit C, Bolivia, NC 28422. Office phone: 9107214100.
What is Dr. Lani Ellis's NPI?
Dr. Lani Ellis's National Provider Identifier (NPI) is 1821490996, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 16, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›