Individual provider · Type 1 NPI

Ellie Jo Gibbens, PA-C

Physician Assistant · Greenville, SC

NPI number 1902580426 Active

Practice location

975 W Faris Rd
Greenville, SC 29605-4241

Call (864) 729-8330 Map

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Other practice locations

  • 11402 Anderson Rd, Greenville, SC 29611-7557 · (864) 631-2799

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant 363A00000X63071 (CA)
Physician Assistant Primary 363A00000X5461 (SC)

Physician Assistant: 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, orde…

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About NPI 1902580426

Ellie Jo Gibbens, PA-C's National Provider Identifier is 1902580426, issued on Jun 14, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenville, SC. The record was last updated on Feb 9, 2026.