Elissa Ann Stanton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9780 Issued in GA

Practice address

3987 Brown Rd
Tucker, GA 30084-2586

Phone

(770) 689-8936

NPI assigned

Apr 21, 2020

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elissa Stanton Ricker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Esrpa

  • Physician Assistant
  • Snellville, GA
  • NPI 1568061000
  NPD Authorized official
• Dekalb Orthopedic Clinic PA

  • Orthopaedic Surgery Physician
  • Decatur, GA
  • NPI 1528174430
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1134749930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3987 BROWN RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842586",
            "telephone_number": "770-689-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3987 BROWN RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842586",
            "telephone_number": "770-689-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "ELISSA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "RICKER",
            "middle_name": "STANTON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saren Paige Sportsman, RD, LD
• Trudy Post Sprunk
• Jessica Spruyt, M.S., CCC-SLP
• St. Ruth Behavioral Health LLC
• Kaitlyn Stansell
• Starlight Behavior Analysis and Therapy LLC
• Stars Medical Transport Inc.
• Benjamin Deleon Steele, RD, LD
• Meryl P Stein, DPM
• Stephen H. Knight M.D.

• Physician Assistant in Tucker, GA
• Providers in Tucker, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.