DR. PAUL DEVERE ELLIS (NPI# 1740297811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740297811 |
| Entity Type | Individual |
| Full Name | DR. PAUL DEVERE ELLIS |
| Credential | MD |
| Practice Address |
11459 Johns Creek Pkwy Ste 250 Johns Creek GA 30097-3517 |
| Practice Telephone | 7704971555 |
| Practice Fax Number | 7704979998 |
| Mailing Telephone | 7704971555 |
| Mailing Fax Number | 7704979998 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 041549 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00701918B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376805689 | Paul S Ellis | Radiology | 1067 Wellington Rd, Jenkintown, PA 19046-3837 | 2012-06-12 |
| 1740490515 | Paul Joseph Ellis | Dentist | 8699 Gull Rd, Richland, MI 49083-9647 | 2007-05-23 |
| 1750309878 | Paul Roscoe Ellis IIi | Specialist | 3600 Gaston Ave Ste 450, Dallas, TX 75246-1904 | 2006-07-17 |
| 1295183408 | Paul Ellis | Counselor | 17 Court St, Boston, MA 02108 | 2016-05-27 |
| 1750723854 | Paul Ellis | Dentist | 8849 Shelby St, A-1, Indianapolis, IN 46227-7508 | 2013-07-18 |
| 1528025673 | Paul D Ellis | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2006-05-01 |
| 1356317325 | Paul T Ellis | Urology | 391 Serpentine Dr, Suite 500, Spartanburg, SC 29303-3083 | 2006-02-28 |
| 1174594873 | Paul W Ellis | Physician Assistant | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2006-01-30 |
| Street Address |
11459 JOHNS CREEK PKWY STE 250 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895762 | Jerry Yuan | Urology | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 | 2006-03-16 |
| 1255725958 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 11459 Johns Creek Pkwy, Ste. 260, Johns Creek, GA 30097-3515 | 2015-03-20 |
| 1770920647 | Village Podiatry Group, LLC | Podiatrist | 11459 Johns Creek Pkwy, Ste. 260, Johns Creek, GA 30097-3515 | 2013-05-31 |
| 1992042402 | Kelly D Caulley | Nurse Practitioner | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 | 2013-01-04 |
| 1093096869 | Joy Page | Nurse Practitioner | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 | 2011-09-07 |
| 1861794265 | Georgia Urology Infertility Services | Urology | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 | 2010-11-17 |
| 1689847543 | Georgia Urology Pa | Urology | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 | 2008-04-10 |
| 1184829681 | Atlanta Vision Institute PC | Ophthalmology | 11459 Johns Creek Pkwy, Johns Creek, GA 30097 | 2007-06-15 |
| 1114041928 | North Chattahoochee Family Physicians, LLC | Family Medicine | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 | 2007-03-19 |
| 1407956279 | M. Farooq Ashraf | Ophthalmology | 11459 Johns Creek Pkwy, Suite 100, Johns Creek, GA 30097-3515 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841748308 | Scott Griffith, M.d. P.C. | Family Medicine | 120 Keswick Way, Johns Creek, GA 30022-6315 | 2016-09-13 |
| 1912286154 | John Freeman Bradberry | Family Medicine | 6385 Mcginnis Ferry Rd, Suite 202, Johns Creek, GA 30005-3621 | 2011-08-05 |
| 1073508875 | Zhen Zhang | Family Medicine | 1030 Matheson Way, Johns Creek, GA 30022 | 2005-09-19 |
| 1982602074 | Ahmad Charkawi | Family Medicine | 6300 Hospital Parkway, Suite 100, Johns Creek, GA 30097 | 2005-07-12 |
| 1962985036 | Hope Family Medicine With Express Care LLC | Family Medicine | 7360 Mcginnis Ferry Rd, Johns Creek, GA 30024-6603 | 2018-09-13 |
| 1477901577 | Thomas Mcginn | Family Medicine | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2016-05-30 |
| 1710381926 | Farzeen Ahmed Khurram | Family Medicine | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2014-10-17 |
| 1235499724 | Karen Nicole Duvall | Family Medicine | 10475 Medlock Bridge Rd, Suite 815, Johns Creek, GA 30097-4433 | 2012-05-18 |
| 1902118292 | Kyoung Ho Lee | Family Medicine | 7360 Mcginnis Ferry Rd, Johns Creek, GA 30024-6603 | 2010-07-02 |
| 1114041928 | North Chattahoochee Family Physicians, LLC | Family Medicine | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 | 2007-03-19 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.