Troy Townsend Ellis, PA-C
Individual provider Active NPI Physician Assistant · Jacksonville, FL
NPI 1104476464 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1104476464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9112544 (FL)
- Practice address
- 915 W Monroe St Ste 200
Jacksonville, FL 32204-1177 - Phone
- (904) 384-2240
- Fax
- (904) 486-2314
- NPI assigned
- Sep 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Florida Endocrine and Diabetes Associates PA
Practice addresses (Care Compare)
1375 Roberts Dr
Suite 206
Jacksonville Beach, FL 32250-3209
Phone (904) 384-2240
600 Plantation Island Dr S
Suite 1
St Augustine, FL 32080-6010
Phone (904) 384-2240
915 W Monroe St
Suite 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Ascension St Vincent'S Riverside
- Flagler Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191023002738 | FL | Practitioner - Physician Assistant | 5698007664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Florida Endocrine and Diabetes Assoc PA | Current |
Accepting new patients | |
| Avecina Medical, PA | Current |
Accepting new patients | |
| Avecina Medical PA | Past | Accepting new patients |
Locations
9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180
915 W Monroe St
Ste 200
Jacksonville, FL 32204
4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372
3550 University Blvd S
Ste 301
Jacksonville, FL 32216
1375 Roberts Dr
Ste 206
Jax Bch, FL 32250
Phone (904) 247-1456
1635 Eagle Harbor Pkwy
Ste 5
Orange Park, FL 32003
1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988
300 Saint Elizabeth Way
Ste 160
St Johns, FL 32259
Interoperability endpoints
- troyellis@nfed.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112544 | FL | Yes |
Addresses
Primary practice location
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Mailing address
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Other providers in Jacksonville, FL
- Marlena Shandrell Ellis
- Michelle Ellis
- Nancy Ellis
- Steven Maurice Ellis II
- Tanace Ellis
- Robert G Ellison Jr.
- Eloisa Anne Ello-Esma
- Marylou V Ello
- Joseph Ellow
- Tasha Ellsberry
All providers in Jacksonville, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.