DR. DOUGLAS H ELLEBY DPM
NPI 1871583609
Podiatrist in Austell, GA

Active since October 24, 2005
3825 MEDICAL PARK DR., STE. 200, AUSTELL, GA 30106(770) 745-5101(770) 745-9740 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Douglas H Elleby Dpm NPPES

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

DR. DOUGLAS H ELLEBY DPM (NPI 1871583609) is an individual podiatrist in Austell, Georgia, licensed in Georgia (POD000433) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1871583609
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. DOUGLAS H ELLEBYCredential: DPM
Location Address3825 MEDICAL PARK DR., STE. 200Austell, GA 30106-6831
Mailing Address900 Circle 75 Pkwy., Ste. 900Atlanta, GA 30339-3084 · (770) 384-0284 · Fax (404) 446-1957
Fax(770) 745-9740
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateAugust 12, 2015
NPI 1871583609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in GA · POD000433
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 000433 (GA)
3825 MEDICAL PARK DR., Austell, GA 30106

Other Identifiers 3

Medicaid1756385LA
Medicare UPINU22513
Medicaid000138993AGA

Other Providers at the Same Location NPPES

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

Podiatrist
3825 MEDICAL PARK DR., SUITE 200
AUSTELL, GA 30106

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 Douglas Elleby's NPI number?

The NPI number for Douglas Elleby is 1871583609. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Douglas Elleby located?

Douglas Elleby practices at 3825 Medical Park Dr. Ste. 200, Austell, GA 30106. The listed phone number is (770) 745-5101.

What is Douglas Elleby's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Douglas Elleby was last updated on August 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.