Ellery Laird, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA6499 Issued in TN

Practice address

6216 Highland Place Way Ste 102
Knoxville, TN 37919-4068

Phone

(865) 888-9958

Fax

(440) 582-3171

NPI assigned

Feb 1, 2019

Last updated

Aug 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medadvance PLLCGroup PAC ID 5698291078, 6 clinicians

Strawberry Creek Medical Group of California PCGroup PAC ID 5799015798, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11833/brand/1/csg/1/fhir/r4

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.

• Medadvance PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1104634377
  Medicare reassignment Care Compare group
• Strawberry Creek Medical Group of California PC

  • General Practice Physician
  • Orinda, CA
  • NPI 1447806096
  Medicare reassignment Care Compare group
• Asthma, Allergy & Immunology Institute, PLC

  • Clinic/Center
  • Southfield, MI
  • NPI 1558481218
  NPD (past)
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1558826719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N 5TH AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041110",
            "telephone_number": "616-403-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 HIGHLAND PLACE WAY STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194068",
            "telephone_number": "865-888-9958",
            "fax_number": "440-582-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Moraga Way Ste G",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945633019",
            "country_code": "US",
            "telephone_number": "925-254-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "ELLERY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009995",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56519",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA6499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ailee Mark Laham, M.D.
• Dorian D Lain, O.D.
• Edward Paul Laine, DO
• Richard Alan Laine Jr., M.D.
• Geoffrey G Laing, MD
• James Laird
• Lindsey Nicole Lakas, DNP
• Timothy Edward Lakas, RN
• Donald Andrew Lakatosh, M.D.
• Corey Lake

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.