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MRS. MINDY SHOOK ELLIS ATC
NPI 1720412265
Specialist/Technologist - Athletic Trainer in Vidalia, GA

Active since August 31, 2013
101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474(912) 277-2033 Get Directions Write a Review

NPPES record last updated: August 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mindy Shook Ellis Atc NPPES

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

MRS. MINDY SHOOK ELLIS ATC (NPI 1720412265) is an individual athletic trainer provider in Vidalia, Georgia, licensed in Georgia (AT001661) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1720412265
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. MINDY SHOOK ELLISCredential: ATC
Location Address101 HARRIS INDUSTRIAL BLVDVidalia, GA 30474-8852
Mailing Address101 Harris Industrial BlvdVidalia, GA 30474-8852 · (912) 277-2033
Phone(912) 277-2033
Sole ProprietorNo
Enumeration DateAugust 31, 2013
✔ NPI 1720412265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT001661
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
101 HARRIS INDUSTRIAL BLVD, Vidalia, GA 30474
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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. HUBERT MCCRARY SUBER MD
Obstetrics & Gynecology
101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474
Toombs County (912) 537-1014
ANGELIA KRONTZ ATTAWAY CNM
Advanced Practice Midwife
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 537-1014
DR. JOHN V SPENCE M.D.
Emergency Medicine (Undersea and Hyperbaric Medicine)
101 HARRIS INDUSTRIAL BLVD, SUITE E
VIDALIA, GA 30474
Toombs County (770) 309-6636
MARY W BENNETT ATC, LAT
Specialist/Technologist (Athletic Trainer)
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2035
MRS. MARGARET FAIRLEY WOOD CCC/SLP
Speech-Language Pathologist
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2044
MEADOWS REGIONAL MEDICAL CENTER
Specialist/Technologist (Athletic Trainer)
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2035
CAROLYN CABE
Nurse Practitioner (Women's Health)
101 HARRIS INDUSTRIAL BLVD, STE C
VIDALIA, GA 30474
Toombs County (912) 537-1014
DR. KAREN JOAN MCCOLL M.D.
Obstetrics & Gynecology (Gynecology)
101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474
Toombs County (912) 537-1014

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 Mindy Ellis's NPI number?

The NPI number for Mindy Ellis is 1720412265. It was assigned to this individual provider in the NPPES registry on August 31, 2013.

Where is Mindy Ellis located?

Mindy Ellis practices at 101 Harris Industrial Blvd, Vidalia, GA 30474. The listed phone number is (912) 277-2033.

What is Mindy Ellis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mindy Ellis was last updated on August 31, 2013. 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.