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MR. JOSHUA KYLE ELLIS LPC
NPI 1811376429
Counselor - Professional in Vidalia, GA

Active since May 28, 2015PECOS Enrolled
500 JACKSON ST, VIDALIA, GA 30474(912) 253-8003(912) 916-0300 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Joshua Kyle Ellis Lpc NPPES

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

MR. JOSHUA KYLE ELLIS LPC (NPI 1811376429) is an individual professional provider in Vidalia, Georgia, licensed in Georgia (LPC008312) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811376429
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOSHUA KYLE ELLISCredential: LPC
Location Address500 JACKSON STVidalia, GA 30474-4730
Mailing Address500 Jackson StVidalia, GA 30474-4730 · (912) 253-8003 · Fax (912) 916-0300
Phone(912) 253-8003
Fax(912) 916-0300
Sole ProprietorYes
Enumeration DateMay 28, 2015
✔ NPI 1811376429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC008312
500 JACKSON ST, Vidalia, GA 30474
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joshua Kyle Ellis Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
463 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Joshua Ellis's NPI number?

The NPI number for Joshua Ellis is 1811376429. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Joshua Ellis located?

Joshua Ellis practices at 500 Jackson St, Vidalia, GA 30474. The listed phone number is (912) 253-8003.

What is Joshua Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Joshua Ellis enrolled in Medicare?

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

Which organization bills Medicare for Joshua Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Ellis reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joshua Ellis was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.