MR. WILLIAM JOHN ELLIS (NPI# 1093878803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093878803 |
Entity Type | Individual |
Full Name | MR. WILLIAM JOHN ELLIS |
Credential | ATC |
Practice Address |
3624 J Dewey Gray Cir Ste 302 Doctors Hospital Sports Medicine Augusta GA 30909-6580 |
Mailing Address |
2044 Mcdowell St Augusta GA 30904-4171 |
Practice Telephone | 7066512270 |
Enumeration Date | 2006-12-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | AT000706 | GA | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720558711 | William Blair Ellis Jr. | Counselor | 611 W A St, Yakima, WA 98902-2605 | 2018-12-03 |
1588940258 | William Ellis Ix | Chiropractor | 933 E Park Dr, Fostoria, OH 44830-2738 | 2011-10-26 |
1003107053 | William Michael Ellis | Pharmacist | 4311 Sr 2565, Louisa, KY 41230 | 2011-04-26 |
1477682003 | William Joe Ellis | Neuromusculoskeletal Medicine & OMM | 424 W Spencer Ave, Marion, IN 46952-3809 | 2007-03-02 |
1659465508 | William Bernard Ellis Sr. | Optometrist | 415 Catchings Ave, Indianola, MS 38751-2411 | 2006-10-03 |
1689644544 | William G Ellis | Chiropractor | 2400 N Commerce St, Ste # 103, Ardmore, OK 73401-1356 | 2006-01-24 |
1073515300 | William W Ellis | Internal Medicine | 100 Mimosa Dr Fl 2, Thomasville, GA 31792-6676 | 2005-05-31 |
1194125575 | William Leon Ellis Jr. | Pharmacist | 935 Blowing Rock Blvd, Lenoir, NC 28645-3785 | 2014-09-04 |
1952749152 | William Spencer Ellis | Family Medicine | 208 W D L Ingram Blvd, Cannon Afb, NM 88103-5103 | 2013-06-10 |
1790050128 | William D Ellis | Emergency Medicine | 8300 Constitution Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87110-7613 | 2012-03-19 |
Street Address |
3624 J DEWEY GRAY CIR STE 302 DOCTORS HOSPITAL SPORTS MEDICINE |
City | AUGUSTA |
State | GA |
Zip Code | 30909-6580 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158651 | Jonathan Perry Howard | Specialist/Technologist | 3624 J Dewey Gray Cir Ste 302, Augusta, GA 30909-6580 | 2020-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
Find all providers in zip 30909 |
Taxonomy Code | 283X00000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699860817 | Walton Rehabiltation Hospital | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2006-10-04 |
1639505803 | Department of Veteran Affairs | Rehabilitation Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-09-19 |
1659616811 | Encompass Health Walton Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-11-29 |
1831474147 | Mentor A.b.i | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-10-18 |
1184818502 | Walton Innovations Inc. | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2007-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477880854 | Beth Powell | Rehabilitation Hospital | 4631 Windcroft Cir, Hoschton, GA 30548-3484 | 2009-11-05 |
1902872310 | Theraneeds, Inc | Rehabilitation Hospital | 5107 Panola Mill Dr, Lithonia, GA 30038-2352 | 2006-02-24 |
1346242682 | Ridgeview Institute,inc | Rehabilitation Hospital | 3995 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2005-06-01 |
1750384368 | Department of Human Services | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-1000 | 2005-05-27 |
1972909109 | Encompass Health Rehabilitation Hospital of Savannah, LLC | Rehabilitation Hospital | 6510 Seawright Dr, Savannah, GA 31406-2752 | 2014-11-17 |
1982019006 | Encompass Health Rehabilitation Hospital of Newnan, LLC | Rehabilitation Hospital | 2101 Newnan Crossing Blvd E, Newnan, GA 30265-2406 | 2014-06-26 |
1760892657 | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals, Inc. | Rehabilitation Hospital | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2014-05-01 |
1548698723 | Es Rehabilitation LLC | Rehabilitation Hospital | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2013-10-24 |
1518243047 | Dbhdd | Rehabilitation Hospital | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2011-10-28 |
1417145251 | John Leonard Abney | Rehabilitation Hospital | 6391 Roosevelt Highway, Warm Springs, GA 31830-0268 | 2007-10-05 |
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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.