MR. JASON DANIEL ELLIS (NPI# 1194840470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194840470 |
| Entity Type | Individual |
| Full Name | MR. JASON DANIEL ELLIS |
| Credential | RN |
| Practice Address |
4510 Nocohoma Bnd Douglasville GA 30135-8447 |
| Practice Telephone | 6784856905 |
| Mailing Telephone | 6784856905 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN155630 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602093 | Jason Lee Ellis | Occupational Therapist | 719 Elysian Fields Ave Fl 2, New Orleans, LA 70117-8511 | 2017-11-09 |
| 1629330949 | Jason S Ellis | Dentist | 440 Coburg Rd, Suite 104, Eugene, OR 97401-5541 | 2012-06-12 |
| 1700914140 | Jason Lee Ellis | Chiropractor | 7250 France Ave S., 300 A, Edina, MN 55435-4346 | 2007-02-28 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1861455495 | Jason Ellis | Chiropractor | 3965 Normal St, Suit #4, San Diego, CA 92103-3422 | 2006-04-06 |
| 1285197673 | Jason Ted Ellis | Pharmacist | 500 11th St Sw, Spencer, IA 51301-5826 | 2019-04-11 |
| 1437618055 | Jason Ellis | Chiropractor | 7034 Liberty Rd, Baltimore, MD 21207-5801 | 2019-03-13 |
| 1023466760 | Jason G. Ellis | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2016-06-02 |
| 1578924858 | Jason Ellis | Peer Specialist | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2016-03-14 |
| 1679828578 | Jason M Ellis | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2012-07-17 |
| Street Address |
4510 NOCOHOMA BND |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171989 | Njideka Christiana Alvin | Registered Nurse | 8759 Hamil Ct, Douglasville, GA 30135-7550 | 2020-07-22 |
| 1972125565 | Idell Annette Strachan | Registered Nurse | 6150 Sequoia Ln, Douglasville, GA 30135-5544 | 2020-05-18 |
| 1720637523 | Towanna Driver | Registered Nurse | 3678 Renfroe Ave, Douglasville, GA 30135-7734 | 2019-09-05 |
| 1730744590 | April Annette Potter | Registered Nurse | 4409 Cabinwood Turn, Douglasville, GA 30135-1949 | 2019-05-07 |
| 1992211189 | Trina Felicia Southerland | Registered Nurse | 4240 Fox Den Dr, Douglasville, GA 30135-4374 | 2017-12-26 |
| 1720532161 | April Polite | Registered Nurse | 18 Sweetwater Bridge Trl, Douglasville, GA 30134-5597 | 2016-08-14 |
| 1487964508 | Eleth P. Teape | Registered Nurse | 6334 Dorsett Shoals Rd, Douglasville, GA 30135-4624 | 2010-10-08 |
| 1801858527 | Tracy Kathleen Jones | Registered Nurse | 6043 Prestley Mill Rd, Suite D, Douglasville, GA 30134 | 2006-04-06 |
| 1942865522 | Janelle Wilson | Registered Nurse | 4409 Cabinwood Turn, Douglasville, GA 30135-1949 | 2019-05-08 |
| 1255808754 | Gina Marie Burbank | Registered Nurse | 6002 Professional Pkwy Ste 220, Douglasville, GA 30134-5627 | 2018-11-01 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
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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.