Mark A Ellis (NPI# 1730150194, PAC ID# 9537103619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1730150194 |
| PAC ID by PECOS | 9537103619 |
| Professional Enrollment ID | I20070110000151 |
| Full Name | Mark A Ellis |
| Organization Legal Name | MARK A. ELLIS, M.D., PC |
| Address |
3018 Falls Rd Suite B Toccoa GA 30577-1406 |
| Phone Number | 8008796274 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 1557305638 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110006 | ST MARY'S HOSPITAL |
| 110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3018 Falls Rd, Suite B, Toccoa, GA 30577-1406 | 8008796274 | MARK A. ELLIS, M.D., PC |
| 1500 Langford Dr, Suite 200, Watkinsville, GA 30677-7298 | 7062080451 | MARK A. ELLIS, M.D., PC |
| Organization Legal Name | MARK A. ELLIS, M.D., PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrance L Hughes | Physical Medicine and Rehabilitation | Mark A. Ellis, M.d., PC | 3018 Falls Rd, Suite B, Toccoa, GA 30577-1406 |
| Street Address |
3018 FALLS RD SUITE B |
| City | TOCCOA |
| State | GA |
| Zip | 30577-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrance L Hughes | Physical Medicine and Rehabilitation | Mark A. Ellis, M.d., PC | 3018 Falls Rd, Suite B, Toccoa, GA 30577-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen F Pinkerton | General Surgery | 27 Rock Quarry Rd, Toccoa, GA 30577-1410 | |
| Tabatha Peavy Anderson | Nurse Practitioner | James G Hamilton Jr Md LLC | 633 Falls Rd, Toccoa, GA 30577-1607 |
| Joseph G Varnadore | Family Practice | 231 Falls Rd, Toccoa, GA 30577-1611 | |
| Jim R Wade | Emergency Medicine | Stephens County Hospital Physician Group | 218 Falls Rd, Toccoa, GA 30577-1631 |
| Kenneth G Schneider | Optometry | 72 Falls Rd, Toccoa, GA 30577-1653 | |
| David Hermann | Family Medicine | 109 W Savannah St, Toccoa, GA 30577-2349 | |
| Cynthia L Shepherd | Hematology/oncology | University Cancer and Blood Center, LLC | 1656 Falls Rd, Suite B, Toccoa, GA 30577-2411 |
| David T Sauls | Emergency Medicine | 1025 Falls Rd, Toccoa, GA 30577-2422 | |
| Larry A Fritchman | Family Medicine | 843 Falls Rd, Toccoa, GA 30577-2429 | |
| Keaton Yearwood | Physical Therapy | Yates and Seib, Inc. | 22 Hayes St, Toccoa, GA 30577-2696 |
| Find all physicians in zip 30577 | |||
| City | TOCCOA |
| Zip Code | 30577 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | TOCCOA + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Mark A 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.