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.
- 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
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821490996. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 1 | $17.96 |