JOHN ELLIS IV (NPI# 1063013613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063013613 |
| Entity Type | Individual |
| Full Name | JOHN ELLIS IV |
| Practice Address |
135 Rudders Xing Newnan GA 30263-7032 |
| Practice Telephone | 6789942192 |
| Mailing Telephone | 6789942192 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH024504 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407495617 | John Leonard Ellis | Psychologist | 4439 Walnut Ridge Rd, Lenoir, NC 28645-3989 | 2020-01-06 |
| 1750637393 | John Darris Ellis | Marriage & Family Therapist | Yellowstone Behavioral Health 2538 Big Horn Ave, Cody Office, Cody, WY 82414-9299 | 2012-08-01 |
| 1538353552 | John Conard Ellis | Pediatrics | 7414 Hazelwood Ave, Indianapolis, IN 46260-3471 | 2007-09-03 |
| 1962619031 | John Paul Ellis | Psychologist | 1108 Grand Avenue, #2, St Paul, MN 55105-2614 | 2007-05-17 |
| 1437276300 | John Bockhoff Ellis | Dentist | 2901 S Florida Ave, Lakeland, FL 33803-4032 | 2007-03-23 |
| 1376670935 | John A Ellis | Family Medicine | 337 Sterling Road, South Lancaster, MA 01561 | 2007-02-28 |
| 1083798557 | John Franklin Ellis | Chiropractor | 2368 Us Highway 23 N, Ste 102, Weber City, VA 24290-7384 | 2006-10-24 |
| 1194831115 | John Lynn Ellis | Chiropractor | 3391 County Road 2240, Salem, MO 65560-8546 | 2006-08-22 |
| 1922011378 | John A Ellis | Dentist | 444 Wilton Rd, Farmington, ME 04938-6135 | 2006-08-15 |
| 1689682221 | John Richard Ellis | Dentist | 22 Blaine St, Hinsdale, IL 60521-4209 | 2006-08-03 |
| Street Address |
135 RUDDERS XING |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1588162580 | James W Duke Jr. | Pharmacist | 90f Glenda Trce Ste 321, Newnan, GA 30265-3858 | 2018-01-25 |
| 1205212206 | Anna Riley | Pharmacist | 3055 Highway 34 East, Newnan, GA 30265 | 2015-08-03 |
| 1003157744 | Michael A Chavez | Pharmacist | 310 Windermere Cir, Newnan, GA 30265-2279 | 2013-03-05 |
| 1831487099 | Rosette Duruh | Pharmacist | 1 Millard Farmer Ind Blvd, Newnan, GA 30263-1078 | 2011-07-20 |
| 1306144662 | Angeline Hyatt Harris | Pharmacist | 3055 Highway 34 E, Newnan, GA 30265-2179 | 2011-03-09 |
| 1629376215 | Donald Armond Nadreau Jr. | Pharmacist | 165 Tillinghast Trce, Newnan, GA 30265-6000 | 2011-03-04 |
| 1265683684 | Jere Douglas Couch | Pharmacist | 155 Portico Pl, Newnan, GA 30265-5947 | 2008-10-03 |
| 1063684397 | Jerome Krupa | Pharmacist | 741 White Oak Dr, Newnan, GA 30265-2056 | 2008-03-27 |
| 1912189879 | Amy Hendrick Matistic | Pharmacist | 1755 Highway 34 East, Suite 1400, Newnan, GA 30265 | 2007-12-03 |
| Find all providers in NEWNAN | ||||
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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.