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

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: August 09, 2026.

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.

CINDY ANN GLEIT MD
Family Medicine
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
COASTAL COMMUNITY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8408
SAGE HAVRILLA
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-0491
DR. MARVIN HUBERT SINEATH JR. MD
Family Medicine
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
JILLIAN ELIZABETH GIBLIN MD
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
DR. CATHLEEN WOOD QUILLIAN D.O.
Family Medicine
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
ERIK CHARLES SHAW DO
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
WINSTON DANIELS
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-0491

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 Keith Ellis's NPI number?

The NPI number for Keith Ellis is 1356490775. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Keith Ellis located?

Keith Ellis practices at 1107 E 66th St, Savannah, GA 31404. The listed phone number is (912) 350-8404.

What is Keith Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keith Ellis was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.