Active NPI
Ellie Lacour Norris, PA
- Physician Assistant
- Athens, GA
National Provider Identifier
1215804653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13676
- Practice address
- 855 Gaines School Rd
Athens, GA 30605-3209 - Phone
- (706) 543-6443
- NPI assigned
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13676 | GA | Primary |
Addresses
Primary practice location
855 Gaines School Rd
Athens, GA 30605-3209
Mailing address
855 Gaines School Rd
Athens, GA 30605-3209
Phone (706) 543-6443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13676 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1215804653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 GAINES SCHOOL RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053209",
"telephone_number": "706-543-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 GAINES SCHOOL RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053209",
"telephone_number": "706-543-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "ELLIE",
"middle_name": "LACOUR",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-21",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "13676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
- Emily Irene Nolan, APRN-CNM
- Annabeth G Norboge, PTA
- Connor Norman, PT, CSCS
- Logan Elise Norris-Jones, MED, CCC-SLP
- Byron Kit Norris, MD
- North Georgia Neprology Consultants LLC
- Northeast Ga Surgical Healthcare
- Northeast Georgia Anesthesiology LLC
- Northeast Georgia ENT-Head & Neck Surgery PC
- Northeast Georgia Gastroenterology Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.