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DAVID J. ELLIS, DO, LLC
NPI 1356495238
Family Medicine in Hazlehurst, GA

Active since January 22, 2007
143 S TALLAHASSEE ST, HAZLEHURST, GA 31539(912) 375-7575(912) 375-7553 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David J. Ellis, Do, Llc NPPES

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

DAVID J. ELLIS, DO, LLC (NPI 1356495238) is a healthcare organization registered as a family medicine in Hazlehurst, Georgia and active in the NPI registry since January 2007. The organization lists David J Ellis, Physician, as its authorized official.

NPPES Registry Identity

NPI1356495238
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID J. ELLIS, DO, LLC
Location Address143 S TALLAHASSEE STHazlehurst, GA 31539-6466
Mailing AddressPo Box 4207Macon, GA 31208-4207 · (912) 375-7575 · Fax (912) 375-7553
Phone(912) 375-7575
Fax(912) 375-7553
Organization SubpartNo
Authorized OfficialDavid J EllisPhysician · (912) 375-7575
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 20, 2009
✔ NPI 1356495238 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 · 020865
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.

143 S TALLAHASSEE ST, Hazlehurst, GA 31539
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Other Identifiers 1

Medicare UPIND45283MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

HAZLEHURST PEDIATRICS, PC
Pediatrics
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-3360
ELITE MEDICAL ASSOCIATES, PC
Specialist
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-4400
HAZLEHURST PEDIATRICS, PC
Pediatrics
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-3360
TONY SPARKS, LLC DBA HAZLEHURST PEDIATRICS
Pediatrics
143 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-3360

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 David J. Ellis, Do, LLC's NPI number?

The NPI number for David J. Ellis, Do, LLC is 1356495238. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is David J. Ellis, Do, LLC located?

David J. Ellis, Do, LLC is located at 143 S Tallahassee St, Hazlehurst, GA 31539. The listed phone number is (912) 375-7575.

What is David J. Ellis, Do, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for David J. Ellis, Do, LLC was last updated on August 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.