MR. JOSHUA KYLE ELLIS (NPI# 1811376429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811376429 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA KYLE ELLIS |
| Credential | LPC |
| Practice Address |
500 Jackson St Vidalia GA 30474-4730 |
| Practice Telephone | 9122538003 |
| Practice Fax Number | 9129160300 |
| Mailing Telephone | 9122538003 |
| Mailing Fax Number | 9129160300 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC008312 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418288 | Joshua Brian Ellis | Student in an Organized Health Care Education/Training Program | 200 Tanner St, Hurricane, WV 25526-1524 | 2019-07-02 |
| 1043362247 | Joshua Charles Ellis | Specialist | 321 Kansas City St, Rapid City, SD 57701-2820 | 2007-01-17 |
| 1477180339 | Joshua Shaw Ellis | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-03-23 |
| 1285156869 | Joshua David Ellis | Marriage & Family Therapist | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2017-07-14 |
| 1740644293 | Joshua Ellis | Emergency Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-11 |
| 1134597032 | Joshua Ellis | Physician Assistant | 550 N Hillside St, Wichita, KS 67214-4910 | 2015-09-09 |
| 1790169365 | Joshua Ellis | Chiropractor | 14740 Pipeline Ave Ste A, Chino Hills, CA 91709-1293 | 2015-07-14 |
| 1790196491 | Joshua Alan Ellis | General Practice | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-05-15 |
| Street Address |
500 JACKSON ST |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467952127 | Seanna Jones | Counselor | 610 Jackson St, Vidalia, GA 30474-4746 | 2018-02-19 |
| 1215384508 | Clifford Hamilton | Counselor | 2270 Ga Highway 130 W, Vidalia, GA 30474-5567 | 2016-05-17 |
| 1467818880 | Aleshia Danielle Dennis | Counselor | 1109 Carter Street, Suite 10, Vidalia, LA 71373 | 2016-01-14 |
| 1275884975 | Leigh-anne White | Counselor | 403 Durden St, Vidalia, GA 30474-4600 | 2012-09-21 |
| 1982975413 | Minnie Joyce Crawford | Counselor | 100 N Hickory St, Vidalia, LA 71373-3315 | 2012-01-13 |
| 1043537780 | Deborah Ward | Counselor | 310 Durden St, Vidalia, GA 30474-4606 | 2010-04-20 |
| 1700328705 | Leigh-anne White & Company | Counselor | 106 E 2nd St, Vidalia, GA 30474-4709 | 2016-11-08 |
| 1245788074 | Sarah B Kitchens | Counselor | 104 E 2nd St, Vidalia, GA 30474-4709 | 2016-09-21 |
| 1801265012 | Cynthia K. Duewall | Counselor | 1109 Carter St, Vidalia, LA 71373-3227 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 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.