KEITH ERRETT ELLIS M.D.
NPI 1356490775
Family Medicine in Savannah, GA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since January 09, 2007PECOS Enrolled

1107 E 66TH ST, SAVANNAH, GA 31404(912) 350-8404(912) 350-8067 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Keith Errett Ellis M.d. NPPES

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

KEITH ERRETT ELLIS M.D. (NPI 1356490775) is an individual family medicine provider in Savannah, Georgia, licensed in Georgia (26106) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356490775

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEITH ERRETT ELLISCredential: M.D.

Location Address1107 E 66TH STSavannah, GA 31404-5701

Mailing Address1107 E 66th StSavannah, GA 31404-5701 · (912) 350-8404 · Fax (912) 350-8067

Phone(912) 350-8404

Fax(912) 350-8067

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateMarch 3, 2014

✔ NPI 1356490775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 26106

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1107 E 66TH ST, Savannah, GA 31404

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Other Identifiers 9

Other080164682GA · Rr Medicare

Other582162071-014Hmhs/tricare South

OtherGRP3905GA · Ga Medicare Group Id

Medicare PIN511I080621GA

MedicaidG26106SC

OtherCH5121GA · Rr Medicare Group Id

Medicare UPINF48118

Medicaid000526578BGA

Medicaid000526578CGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Errett Ellis 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 31404 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHLEEN WOOD QUILLIAN D.O.

Family Medicine