Individual Healthcare Provider
Lani Ellis, P.A.-C
Provider's NPPES record last updated: August 30, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1821490996
- Primary Specialty
- Physician Assistant
- Practice Location
- Bolivia, North Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:11 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
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.
Taxonomy code 363A00000X Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (North Carolina)
- 0010-07945
- Physician Assistant (Virginia)
- 0110004612
- Physician Assistant (Virginia)
- 110004612
Practice Locations
Practice Location
584 Hospital Dr Ne Unit C
Bolivia, North Carolina 28422
Phone: (910) 721-4100
Additional Practice Location
613 Shipyard Blvd
Wilmington, North Carolina 28412-6492
Phone: (910) 202-5709
Fax: (910) 202-9966
Additional Practice Location
555 Halyburton Memorial Pkwy
Wilmington, North Carolina 28412-3094
Phone: (910) 790-9949
Fax: (910) 202-9966
Additional Practice Location
1307 Market St
Wilmington, North Carolina 28401-4331
Phone: (910) 790-9949
Fax: (910) 202-9966
Additional Practice Location
4005 Oleander Dr
Wilmington, North Carolina 28403-6816
Phone: (910) 790-9949
Fax: (910) 202-9966
Additional Practice Location
Novant Health Oceanside Family Medicine
584 Hospital Dr Ste C
Bolivia, North Carolina 28422-9047
Phone: (910) 721-4100
Additional Practice Location
309 Progress Dr
Burgaw, North Carolina 28425-3280
Phone: (910) 259-0668
Fax: (910) 202-9966
Additional Practice Location
615 Shipyard Blvd
Wilmington, North Carolina 28412-6431
Phone: (910) 343-0145
Fax: (910) 202-9966
Additional Practice Location
2700 N College Rd
Wilmington, North Carolina 28405-8816
Phone: (910) 790-9949
Record Information
- Enumeration Date
- September 20, 2014
- Provider's NPPES Record Last Updated
- August 30, 2022
- Certification Date
- August 30, 2022
- NPISignal NPPES Dataset
- August 2026
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