MRS. SARAH E ELLIS (NPI# 1720385412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720385412 |
| Entity Type | Individual |
| Full Name | MRS. SARAH E ELLIS |
| Credential | FNP |
| Practice Address |
502 E General Stewart Way Ste A Hinesville GA 31313 |
| Mailing Address |
502 E General Stewart Way Ste A Hinesville GA 31313-2643 |
| Practice Telephone | 9123681966 |
| Practice Fax Number | 9123681966 |
| Mailing Telephone | 9128763552 |
| Mailing Fax Number | 9128763556 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN256687 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003182987A | 05 | |
| GA | 003182987B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982259677 | Sarah Elizabeth Ellis | Case Manager/Care Coordinator | 7249 E 553 Rd, Kansas, OK 74347-5030 | 2019-08-08 |
| 1972969228 | Sarah Goldberg Ellis | Social Worker | 751 Route 73 N Ste 11, Marlton, NJ 08053-3456 | 2016-01-01 |
| 1487073441 | Sarah Ellis | Anesthesiology | 9452 Medical Center Dr, La Jolla, CA 92037-1337 | 2014-04-07 |
| 1053679662 | Sarah E Ellis | Community/Behavioral Health | 2420 Catharine St Apt 1, Philadelphia, PA 19146-2404 | 2012-05-02 |
| 1184915522 | Sarah Elizabeth Ellis | Speech-Language Pathologist | 1200 S Washington St, Apt 1409, Easton, MD 21601-4351 | 2011-04-19 |
| 1356513733 | Sarah Ames Ellis | Psychologist | 299 West 12th Street, 15 D, New York, NY 10014 | 2008-03-26 |
| 1831394428 | Sarah Ellis | Massage Therapist | 14012 Corliss Ave N, Seattle, WA 98133-7224 | 2007-06-15 |
| 1497360069 | Sarah Lynn Ellis | Speech-Language Pathologist | 1104 Arbor Hill Rd, Delhi, NY 13753-2208 | 2020-09-10 |
| 1134602246 | Sarah Jean Ellis | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045 | 2018-09-13 |
| 1932620465 | Sarah Hall Ellis | Audiologist | 1225 Morris Park Avenue, Van Etten Building, Bronx, NY 10461 | 2017-07-06 |
| Street Address |
502 E GENERAL STEWART WAY STE A |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548583719 | Monica D Jackson | Physician Assistant | 502 E General Stewart Way Ste A, Hinesville, GA 31313-2643 | 2010-03-02 |
| 1528554375 | Michelle Y Wright | Nurse Practitioner | 502 E General Stewart Way Ste A, Hinesville, GA 31313 | 2018-07-05 |
| 1326594714 | Diversity Health Center Inc. | Clinic/Center | 502 E General Stewart Way Ste A, Hinesville, GA 31313-2643 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636376 | Turana Marie Nicholson | Nurse Practitioner | 398 Meloney Dr, Hinesville, GA 31313-5704 | 2019-03-01 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1588039101 | Jessica Pimentel | Nurse Practitioner | 303 Fraser Drive, Hinesville, GA 31313-3712 | 2015-12-08 |
| 1972595312 | Susan Patrice Brown | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2005-08-22 |
| 1568019081 | Latonya Blevins Turner | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2019-08-20 |
| 1205396447 | Keshala Anderson Newton | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2019-03-22 |
| 1386112456 | Mark Anderson | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2018-11-07 |
| 1528554375 | Michelle Y Wright | Nurse Practitioner | 502 E General Stewart Way Ste A, Hinesville, GA 31313 | 2018-07-05 |
| 1235627464 | Jessica Marie Alferink | Nurse Practitioner | 462 Elma G Miles Pkwy Ste 102a, Hinesville, GA 31313 | 2018-04-24 |
| Find all providers in HINESVILLE | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on MRS. SARAH E ELLIS.
| 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.