ANDREA ELLIS (NPI# 1629472550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629472550 |
| Entity Type | Individual |
| Full Name | ANDREA ELLIS |
| Practice Address |
3525 Augustus Road Agape Physicians Care Aiken SC 29801 |
| Mailing Address |
1624 Main Street Agape Senior Primary Care, Inc., Dba Agape Physicians C Columbia SC 29201 |
| Practice Telephone | 8034543510 |
| Practice Fax Number | 8034542368 |
| Mailing Telephone | 8034540365 |
| Mailing Fax Number | 8034046000 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
18950 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861723462 | Andrea Ellis | Social Worker | 14 Maine St # 54, Brunswick, ME 04011-2049 | 2010-01-21 |
| 1497925408 | Andrea Nicole Ellis | Chiropractor | 8140 Walnut Hill Ln Ste 120, Dallas, TX 75231-4464 | 2008-03-05 |
| 1164605812 | Andrea P Ellis | Registered Nurse | 9141 Stratus Cirlcle, N/a, Manlius, NY 13104-2143 | 2007-12-17 |
| 1922621051 | Andrea Ellis | Counselor | 1110 Benfield Blvd, Millersville, MD 21108-2639 | 2020-05-23 |
| 1770070898 | Andrea Loretta Ellis | Nurse Practitioner | 919 E 2nd St, Sanford, FL 32771 | 2018-04-14 |
| 1104267194 | Andrea Ellis | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2013-07-08 |
| 1699902775 | Andrea Ellis | Counselor | 1875 N Ridge Rd E, Lorain, OH 44055-3371 | 2009-06-16 |
| 1093953101 | Andrea Deno Ellis | Counselor | 21714 Hardy Oak, Suite # 100, San Antonio, TX 78258-4838 | 2009-01-27 |
| 1063661148 | Andrea M Ellis | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2008-09-15 |
| 1639340151 | Andrea Louise Ellis | Speech-Language Pathologist | 102 Smithfield St, Buckhannon, WV 26201-2620 | 2008-03-13 |
| Street Address |
3525 AUGUSTUS ROAD AGAPE PHYSICIANS CARE |
| City | AIKEN |
| State | SC |
| Zip Code | 29801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| 1629406384 | Usrc North Aiken, LLC | Clinic/Center | 208 University Parkway, Suite 208, Aiken, SC 29801 | 2013-10-16 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032316 | Tracy Larson | Nurse Practitioner | 415 Barnwell Ave Nw, Aiken, SC 29801-3937 | 2020-04-16 |
| 1962919209 | Tiffany Nicole Spencer-moye | Nurse Practitioner | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2018-01-09 |
| 1104261916 | Holly Surrency | Nurse Practitioner | 934 Dougherty Rd, Aiken, SC 29803-6515 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588819 | Natalia Milliken | Nurse Practitioner | 4921 Bluffton Pkwy Apt 534, Bluffton, SC 29910-4655 | 2020-11-04 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1881291722 | Margot Veronique Rabren | Nurse Practitioner | 109 Carter Park Dr # 3a, Seneca, SC 29678-1152 | 2020-10-05 |
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
| 1871055210 | Kelli Lane Evans | Nurse Practitioner | 260 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-3666 | 2019-04-04 |
| 1255807087 | Jaclyn Blair Lucchese | Nurse Practitioner | 25 Hospital Center Blvd Ste 105, Hilton Head Island, SC 29926-2735 | 2018-10-19 |
| 1790297497 | Juliann Marie Trumpower | Nurse Practitioner | 9789 Charlotte Hwy Ste 1400, Fort Mill, SC 29707-7186 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
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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.