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CAROLINE ELLIS
NPI 1124615083
Durable Medical Equipment & Medical Supplies in Conyers, GA

Active since December 28, 2020
1715 FOXWOOD GLN SE, CONYERS, GA 30013(470) 424-3142 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caroline Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE ELLIS (NPI 1124615083) is an individual durable medical equipment & medical supplies provider in Conyers, Georgia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1124615083
Entity TypeIndividualFemale
Primary Taxonomy332B00000X
Provider Legal NameCAROLINE ELLIS
Location Address1715 FOXWOOD GLN SEConyers, GA 30013-6302
Mailing Address1715 Foxwood Gln SeConyers, GA 30013-6302 · (470) 424-3142
Phone(470) 424-3142
Sole ProprietorYes
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1124615083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1715 FOXWOOD GLN SE, Conyers, GA 30013
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Ellis's NPI number?

The NPI number for Caroline Ellis is 1124615083. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Caroline Ellis located?

Caroline Ellis practices at 1715 Foxwood Gln SE, Conyers, GA 30013. The listed phone number is (470) 424-3142.

What is Caroline Ellis's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Caroline Ellis was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.