1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ELLIS REAVIS
NPI 1871420497
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since May 07, 2026
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-2300 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ellis Reavis NPPES

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

ELLIS REAVIS (NPI 1871420497) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1871420497
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELLIS REAVIS
Location Address171 ASHLEY AVECharleston, SC 29425-8903
Mailing Address171 Ashley AveCharleston, SC 29425-8903 · (843) 792-2300
Phone(843) 792-2300
Sole ProprietorNo
Enumeration DateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1871420497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
171 ASHLEY AVE, Charleston, SC 29425
Open in Google Maps ↗

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.

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

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 Ellis Reavis's NPI number?

The NPI number for Ellis Reavis is 1871420497. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Ellis Reavis located?

Ellis Reavis practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-2300.

What is Ellis Reavis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ellis Reavis was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.