Jack Ellis (NPI# 1003115254, PAC ID# 8729209903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003115254 |
| PAC ID by PECOS | 8729209903 |
| Professional Enrollment ID | I20150317001692 |
| Full Name | Jack Ellis |
| Organization Legal Name | AU MEDICAL ASSOCIATES INC |
| Address |
1120 15th St Augusta GA 30912-0004 |
| Phone Number | 7067246100 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9931013513 |
| Number of Group Practice Members | 423 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110034 | GEORGIA HEALTH SCIENCES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1120 15th St, Augusta, GA 30912-0004 | 7067246100 | AU MEDICAL ASSOCIATES INC |
| Organization Legal Name | AU MEDICAL ASSOCIATES INC |
| Physicians | 385 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Machli Adrien | Podiatry | Au Medical Associates Inc | 901 Magnolia Dr, Aiken, SC 29803-7309 |
| Joseph Peter Hernandez Iii | Psychiatry | Au Medical Associates Inc | 997 Saint Sebastian Way, Augusta, GA 30912-2613 |
| Mrinal Shukla | Vascular Surgery | Au Medical Associates Inc | 1003 Chafee Ave, Augusta, GA 30904-5867 |
| Hamer Manning Titus | Obstetrics/gynecology | Au Medical Associates Inc | 4300 University Pkwy, Evans, GA 30809-3063 |
| Kenneth John Vega | Gastroenterology | Au Medical Associates Inc | 604 Riverside Ave, Waycross, GA 31501-5323 |
| Jennifer Lanzer | Obstetrics/gynecology | Au Medical Associates Inc | 2824 Hillcreek Dr, Augusta, GA 30909-5628 |
| Soumia Brakta | Obstetrics/gynecology | Au Medical Associates Inc | 810 Chafee Ave, Augusta, GA 30904-5806 |
| Humberto Sifuentes | Gastroenterology | Au Medical Associates Inc | 2011 Westend Dr, Greensboro, GA 30642-5146 |
| Charlton Pickett | Family Medicine | Au Medical Associates Inc | 1417 Pendleton Rd, Augusta, GA 30904-4837 |
| Stephanie L Goei | Ophthalmology | Au Medical Associates Inc | 1220 W Wheeler Pkwy, Augusta, GA 30909-6625 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip | 30912-0004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Scott Smith | Nurse Practitioner | Au Medical Center, Inc | 1120 15th St, Augusta, GA 30912-0006 |
| Bryan Richard Broach | Internal Medicine | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Janelle Ann Mcgill | Pediatric Medicine | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Janis S Coffin | Family Medicine | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Saroj B Sharma | Internal Medicine | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Stephen A Shiver | Emergency Medicine | Au Medical Associates Emergency Medicine Billing Services, LLC | 1120 15th St, Augusta, GA 30912-0004 |
| Erin P Stewart | Physician Assistant | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Shahram Bozorgnia | Orthopedic Surgery | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| John C Morgan | Neurology | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Peter B Rosenquist | Psychiatry | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill A Nesley | Certified Registered Nurse Anesthetist (crna) | Au Medical Associates Anesthesia Billing Services, LLC | 1448 Harper St, Augusta, GA 30912-0001 |
| Heather Byrd | Anesthesiology | Au Medical Associates Anesthesia Billing Services, LLC | 1448 Harper St, Augusta, GA 30912-0001 |
| Alison S Brigham | Certified Registered Nurse Anesthetist (crna) | Au Medical Associates Anesthesia Billing Services, LLC | 1448 Harper St, Augusta, GA 30912-0001 |
| Holly Hefner | Certified Registered Nurse Anesthetist (crna) | Au Medical Associates Anesthesia Billing Services, LLC | 1448 Harper St, Augusta, GA 30912-0001 |
| Brita Holman | Anesthesiology | Au Medical Associates Anesthesia Billing Services, LLC | 1448 Harper St, Augusta, GA 30912-0001 |
| John Hawkins | Certified Registered Nurse Anesthetist | Au Medical Associates Anesthesia Billing Services, LLC | 1448 Harper St, Augusta, GA 30912-0001 |
| Richard B Schwartz | Emergency Medicine | Au Medical Associates Emergency Medicine Billing Services, LLC | 1120 15th St, Augusta, GA 30912-0004 |
| Amado Alejandro Baez | Emergency Medicine | Au Medical Associates Emergency Medicine Billing Services, LLC | 1120 15th St, Augusta, GA 30912-0004 |
| Elizabeth D Fox | General Surgery | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Lydia J Kuhn | Hospitalist | Au Medical Associates Inc | 1120 15th St, Augusta, GA 30912-0004 |
| Find all physicians in zip 30912 | |||
| City | AUGUSTA |
| Zip Code | 30912 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AUGUSTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jack Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.