1. Home
  2. Directory
  3. Mississippi
  4. Hazlehurst
  5. Dentist
  6. NPI Profile

GEORGE E ELLIS D.M.D.
NPI 1235347436
Dentist - General Practice in Hazlehurst, MS

Active since May 19, 2007PECOS Enrolled
108 TRADE CENTER LN, HAZLEHURST, MS 39083(601) 894-4016(601) 894-1751 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About George E Ellis D.m.d. NPPES

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

GEORGE E ELLIS D.M.D. (NPI 1235347436) is an individual general practice provider in Hazlehurst, Mississippi, licensed in Mississippi (233687) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235347436
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGEORGE E ELLISCredential: D.M.D.
Location Address108 TRADE CENTER LNHazlehurst, MS 39083-2319
Mailing Address108 Trade Center LnHazlehurst, MS 39083-2319 · (601) 894-4016 · Fax (601) 894-1751
Phone(601) 894-4016
Fax(601) 894-1751
Sole ProprietorYes
Enumeration DateMay 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235347436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 233687
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
108 TRADE CENTER LN, Hazlehurst, MS 39083
Open in Google Maps ↗

Other Identifiers 1

Medicaid00060353MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George E Ellis D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 George Ellis's NPI number?

The NPI number for George Ellis is 1235347436. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Where is George Ellis located?

George Ellis practices at 108 Trade Center Ln, Hazlehurst, MS 39083. The listed phone number is (601) 894-4016.

What is George Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is George Ellis enrolled in Medicare?

Yes. George Ellis is registered in the Medicare PECOS enrollment system.

What insurance does George Ellis accept?

Health plans from Guardian and Humana list George Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for George Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.