ERIN KATHLEEN ELLIS (NPI# 1548892474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548892474 |
| Entity Type | Individual |
| Full Name | ERIN KATHLEEN ELLIS |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
747 S Hill St Griffin GA 30224-4830 |
| Mailing Address |
515 White Rd Fayetteville GA 30214-1211 |
| Practice Telephone | 7702285707 |
| Mailing Telephone | 6786820747 |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | RN238998 | GA | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN238998 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487887097 | Erin Lynn Ellis | Dental Assistant | 805 Canton Road, Ste D, Marietta, GA 30060-0000 | 2009-08-29 |
| 1710169305 | Erin Ellis | Occupational Therapist | 104 Harrington Ave, Shrewsbury, MA 01545-5248 | 2007-12-05 |
| 1154512085 | Erin Ellis | Adult Companion | 5270 N Williams Ave, Portland, OR 97217-2736 | 2007-08-06 |
| 1548221583 | Erin Ray Ann Ellis | Nurse Practitioner | 7040 Smoke Ranch Rd, Las Vegas, NV 89128-8607 | 2006-03-29 |
| 1164035150 | Erin Margaret Ellis | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-28 |
| 1063916104 | Erin Brett Ellis | Naturopath | 8962 E Desert Cove Ave Ste 110, Scottsdale, AZ 85260-6984 | 2018-03-22 |
| 1013360825 | Erin Victoria Ellis | Physical Therapist | 380 Colonial Dr, Bidwell, OH 45614-9215 | 2016-07-16 |
| 1619373552 | Erin Marie Ellis | Speech-Language Pathologist | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2014-11-04 |
| 1366883795 | Erin L Ellis | Dentist | 230 N Eastown Rd, Lima, OH 45807-2211 | 2013-07-15 |
| 1932445822 | Erin Janine Ellis | Behavioral Analyst | 3003 Northup Way, Suite 200, Bellevue, WA 98004-1471 | 2012-12-20 |
| Street Address |
747 S HILL ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265491294 | Daniel J Smith | Registered Nurse | 747 S Hill St, Griffin, GA 30224-4830 | 2006-03-20 |
| 1396376596 | Holly Ann Shoemaker | Nurse Practitioner | 747 S Hill St, Griffin, GA 30224-4830 | 2020-01-28 |
| 1225483985 | Heather Underwood | Nurse Practitioner | 747 S Hill St, Griffin, GA 30224-4830 | 2016-05-02 |
| 1023230422 | Mcintosh Trail Family Practice | Family Medicine | 747 S Hill St, Griffin, GA 30224-4830 | 2007-05-03 |
| 1639209331 | Mtfp2 LLC | Obstetrics & Gynecology | 747 S Hill St, Griffin, GA 30224-4830 | 2007-03-06 |
| 1124181086 | Vicki Lyndall Van | Family Medicine | 747 S Hill St, Griffin, GA 30224-4830 | 2006-12-19 |
| 1851452254 | David Arthur Van | Family Medicine | 747 S Hill St, Griffin, GA 30224-4830 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739519 | Haylee Powell | Nurse Practitioner | 616 S 8th St Ste A, Griffin, GA 30224-4214 | 2020-07-31 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1164913646 | Alvon Dukes | Nurse Practitioner | 193 Jim Goodson Rd, Griffin, GA 30223-6125 | 2018-05-21 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1497294532 | Portia Risper | Nurse Practitioner | 600 S Pine Hill Rd, Apt H6, Griffin, GA 30224-8325 | 2017-02-22 |
| 1023479516 | Kaley Prather | Nurse Practitioner | 619 S 8th St Suite 200, Griffin, GA 30224-4260 | 2016-03-11 |
| 1407109267 | Terrie Hattie Allen | Nurse Practitioner | 82 Payton Rd, Minuteclinic, Griffin, GA 30223-5738 | 2012-10-17 |
| 1922238260 | Frances Marie Landrum | Nurse Practitioner | 409 W Solomon St, Griffin, GA 30223-2831 | 2009-07-21 |
| 1437330412 | Margaret Ann Mcilwain | Nurse Practitioner | 1857 W Mcintosh Rd, Griffin, GA 30223-1705 | 2007-11-19 |
| 1093708869 | Kudirat Mumuney | Nurse Practitioner | 315 S 9th St, Griffin, GA 30224-4111 | 2005-08-26 |
| Find all providers in GRIFFIN | ||||
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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.