MR. CARL EDWARD ELLIS JR.
NPI 1376667105
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Oglethorpe, GA

Active since March 19, 2007
700 CITY HALL DR, FORT OGLETHORPE, GA 30742(706) 861-3387(706) 861-3332 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carl Edward Ellis Jr. NPPES

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

MR. CARL EDWARD ELLIS JR. (NPI 1376667105) is an individual mental health (including community mental health center) provider in Fort Oglethorpe, Georgia, licensed in Georgia (RPH009402) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1376667105
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameMR. CARL EDWARD ELLIS JR.
Location Address700 CITY HALL DRFort Oglethorpe, GA 30742-7802
Mailing Address31 S Glade RdFort Oglethorpe, GA 30742-3909 · (706) 866-5097
Fax(706) 861-3332
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376667105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in GA · RPH009402
700 CITY HALL DR, Fort Oglethorpe, GA 30742

Other Names 1

Professional Name (2)Carl Ellis Rph

Other Providers at the Same Location NPPES 9

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

Counselor (Addiction (Substance Use Disorder))
700 CITY HALL DR
FT OGLETHORPE, GA 30742
Counselor (Professional)
700 CITY HALL DR
FORT OGLETHORPE, GA 30742
Counselor (Professional)
700 CITY HALL DR
FT OGLETHORPE, GA 30742
Psychiatry & Neurology (Psychiatry)
700 CITY HALL DR
FORT OGLETHORPE, GA 30742
Licensed Practical Nurse
700 CITY HALL DR
FT OGLETHORPE, GA 30742
Registered Nurse (Psychiatric/Mental Health)
700 CITY HALL DR
FT OGLETHORPE, GA 30742
Community/Behavioral Health
700 CITY HALL DR
FT OGLETHORPE, GA 30742
Counselor
700 CITY HALL DR
FORT OGLETHORPE, GA 30742

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 Carl Ellis's NPI number?

The NPI number for Carl Ellis is 1376667105. It was assigned to this individual provider in the NPPES registry on March 19, 2007. The provider is also known as Carl Ellis Rph.

Where is Carl Ellis located?

Carl Ellis practices at 700 City Hall Dr, Fort Oglethorpe, GA 30742. The listed phone number is (706) 861-3387.

What is Carl Ellis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Carl 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.