DR. JEFFREY WARREN ELLIS (NPI# 1093860090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093860090 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY WARREN ELLIS |
| Credential | M.D. |
| Practice Address |
2701 Meredyth Dr Albany GA 31707-2267 |
| Practice Telephone | 2294309213 |
| Practice Fax Number | 2299031585 |
| Mailing Telephone | 2294309213 |
| Mailing Fax Number | 2299031585 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01047231A | IN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 034582 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P01723961 | 01 |
| IN | 200299850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518133198 | Jeffrey S Ellis | Marriage & Family Therapist | 2287 E Dudley St, Pasadena, CA 91104-4126 | 2008-05-05 |
| 1679691877 | Jeffrey Scott Ellis | Dentist | 160 S 100 W, Heber City, UT 84032-2015 | 2007-03-26 |
| 1417087719 | Jeffrey Mark Ellis | Dentist | 3237 Route 112, Bldg 6, Medford, NY 11763-1424 | 2007-03-06 |
| 1538698543 | Jeffrey Lee Ellis | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2017-06-05 |
| 1033454699 | Jeffrey Christian Ellis | Physician Assistant | Psc 836 Box 2670, Fpo, AE 09636-9998 | 2012-12-07 |
| 1790987816 | Jeffrey W Ellis | Student in an Organized Health Care Education/Training Program | Children's Hospital Guidance Center, 187 W. Schrock Rd, Westerville, OH 43081 | 2007-06-01 |
| 1326142035 | Jeffrey L Ellis | Pathology | 222 Medical Cir, Morehead, KY 40351-1179 | 2006-09-12 |
| 1285748293 | Jeffrey Ira Ellis | Dermatology | 358 S Oyster Bay Rd, Hicksville, NY 11801-3508 | 2006-08-18 |
| 1932171154 | Jeffrey B Ellis | Internal Medicine | 1425 Horsham Rd, Medical Suite, North Wales, PA 19454-1320 | 2006-02-02 |
| Street Address |
2701 MEREDYTH DR |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879244 | Eleanor Sharon Davis | Advanced Practice Midwife | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2005-08-30 |
| 1962034397 | Veranda Medical Group, LLC | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2020-02-04 |
| 1730681495 | Angela Kennedy Bullard | Registered Nurse | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2018-03-08 |
| 1255784500 | Stacey Barnes | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2016-07-21 |
| 1265815013 | Joyce Marie Monticino | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2015-06-29 |
| 1801140769 | Tiffany Merritt Fallin | Nurse Practitioner | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2012-10-31 |
| 1043576747 | Judy Y Yeh | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707 | 2012-04-06 |
| 1609175272 | Brandon-luke Labron Seagle | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707 | 2011-03-22 |
| 1013228568 | Elizabeth Joffrion Tye | Registered Nurse | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2010-06-30 |
| 1154641637 | Jean M Jones | Physician Assistant | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2010-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205247921 | Katherine Beditz Cartwright | Obstetrics & Gynecology | 319 S Manning Blvd Ste 201, Albany, NY 12208-1743 | 2014-05-15 |
| 1073893459 | Anna Natenzon Frega | Obstetrics & Gynecology | 391 Myrtle Ave. 2nd Floor, Albany, NY 12208 | 2011-08-17 |
| 1821230525 | Willie Adams Jr Md Obgyn LLC | Obstetrics & Gynecology | 507 W 3rd Ave Ste 3, Albany, GA 31701-1944 | 2009-03-27 |
| 1851551923 | Francis Kwarteng | Obstetrics & Gynecology | 401 S. Madison Street, Albany, GA 31701 | 2008-06-12 |
| 1639338320 | Phoebe Women's Services | Obstetrics & Gynecology | 901 N Madison St, Albany, GA 31701-2210 | 2008-06-06 |
| 1811099757 | Drs Adams & Woods Md, LLC | Obstetrics & Gynecology | 320 W 2nd Ave, Albany, GA 31701-2370 | 2006-09-01 |
| 1760494322 | Lindsay Raynard Cruel | Obstetrics & Gynecology | 317 W 1st Ave, Albany, GA 31701-2303 | 2006-08-12 |
| 1740216498 | Firstcare Medical Foundation | Obstetrics & Gynecology | 1700 Geary Street Se, Albany, OR 97322-6842 | 2006-06-24 |
| 1548246465 | Moon Yun Chung | Obstetrics & Gynecology | 421 W 4th Ave, Albany, GA 31701-1973 | 2005-12-22 |
| 1396738886 | Ronald Allan Cucina | Obstetrics & Gynecology | 1001 N Monroe St, Albany, GA 31701-1903 | 2005-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.