SHARON JORDAN ELLIS (NPI# 1801168604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801168604 |
| Entity Type | Individual |
| Full Name | SHARON JORDAN ELLIS |
| Credential | RN |
| Practice Address |
415 N Jackson St Americus GA 31709-3015 |
| Mailing Address |
619 Hwy 19 S Americus GA 31719-9273 |
| Practice Telephone | 2299312470 |
| Mailing Telephone | 2299280561 |
| Mailing Fax Number | 2299289935 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RN079315 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177145 | Sharon Kristine Ellis | Registered Nurse | 5871 Sw Badger Rd, Terrebonne, OR 97760-8936 | 2018-09-12 |
| 1457881823 | Sharon Ellis | Registered Nurse | 1000 W Carson St # 14, Torrance, CA 90502-2004 | 2017-06-18 |
| 1497908651 | Sharon Magdalene Ellis | Licensed Practical Nurse | 5662 La Mirada Ave, 204, Los Angeles, CA 90038-2278 | 2008-10-31 |
| 1417433509 | Sharon M Ellis | Registered Nurse | 1906 E Tyler Ave Ste G, Harlingen, TX 78550-7109 | 2018-07-12 |
| 1952762742 | Sharon Ellis | Technician | 9904 Linden Ave N, Brooklyn Park, MN 55443-1851 | 2016-03-08 |
| 1336215599 | Sharon Kelly Ellis | Optometrist | 5370 Stone Mountain Hwy, Suite 700, Stone Mountain, GA 30087-3581 | 2006-11-28 |
| 1487616181 | Sharon S Ellis | Pediatrics | 1333 Taylor St, Suite A6, Columbia, SC 29201-2923 | 2006-04-06 |
| 1538153010 | Sharon A Ellis | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-09 |
| Street Address |
415 N JACKSON ST |
| City | AMERICUS |
| State | GA |
| Zip Code | 31709-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093784720 | Middle Flint Area Community Service Board | Public Health or Welfare | 415 N Jackson St, Americus, GA 31709-3015 | 2006-03-15 |
| 1235761057 | Carswella Benita Major | Licensed Practical Nurse | 415 N Jackson St, Americus, GA 31709-3015 | 2020-02-10 |
| 1548892383 | Nena Nakesha Williams | Behavior Technician | 415 N Jackson St, Americus, GA 31709-3015 | 2020-02-10 |
| 1003453507 | Latanja Renee Bateman | Social Worker | 415 N Jackson St, Americus, GA 31709-3015 | 2019-12-03 |
| 1730721671 | Angela Lavonne Williams | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2019-10-11 |
| 1023668159 | Elsenna Dellonya Howard | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2019-09-20 |
| 1417420266 | Ashley Hawkins | Case Manager/Care Coordinator | 415 N Jackson St, Americus, GA 31709-3015 | 2019-01-04 |
| 1891268785 | Jessica Mitchell | Community Health Worker | 415 N Jackson St, Americus, GA 31709-3015 | 2019-01-03 |
| 1669948923 | Middle Flint Behavioral Healthcare | Case Management | 415 N Jackson St, Americus, GA 31709-3015 | 2018-10-15 |
| 1285119248 | Kristen Renay Adkins-murdock | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2018-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1831667948 | Heather Marie Pickle | Nurse Practitioner | 915 Elmo Street, Americus, GA 31709 | 2018-11-06 |
| 1114442100 | Thunderbolt Trailers, Inc. | Durable Medical Equipment & Medical Supplies | 128 E Forsyth St Unit 6542, Americus, GA 31709 | 2017-08-10 |
| 1083137384 | Lannelle German Wilson | Social Worker | 100 Heads Avenue, Americus, GA 31709 | 2017-07-19 |
| 1386173706 | April Owen | Behavioral Analyst | 302 E Furlow, Americus, GA 31709 | 2017-06-08 |
| 1396274726 | Dionna Shaunta Johnson | Case Manager/Care Coordinator | 211 North Jackson Street, Americus, GA 31709 | 2017-06-08 |
| 1972049377 | Lionel Brown | Nurse Anesthetist, Certified Registered | 211 Elliott, Americus, GA 31709 | 2017-01-10 |
| 1528426400 | Pamela Gordon | Counselor | 411 North Jackson Street, Americus, GA 31709 | 2016-02-05 |
| Find all providers in zip 31709 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871803 | Nastassja Jenkins | Counselor | 209 Habitat St, Americus, GA 31709-3472 | 2020-02-03 |
| 1730721671 | Angela Lavonne Williams | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2019-10-11 |
| 1184266363 | Cassandra Smith | Counselor | 120 N Dudley St, Americus, GA 31709-3410 | 2019-10-09 |
| 1306218409 | Connie Leigh Poole | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2015-10-28 |
| 1558747394 | Patricia Renee Fedrick | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2015-08-04 |
| 1407286800 | Jalisa Givins | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2013-11-21 |
| 1407282536 | Shakedra Little Harris | Counselor | 415 N Jackson St, Po Drawer 1348, Americus, GA 31709-3015 | 2013-09-20 |
| 1689911562 | Karen Eubanks | Counselor | 415 N Jackson St, Americus, GA 31709-3015 | 2013-01-11 |
| 1184969511 | Connie Sue Wrenn | Counselor | 952 Anthony Dr, Po Drawer 1348, Americus, GA 31709-4634 | 2012-12-12 |
| 1073887949 | Contessa Tanner-jones | Counselor | 415 N Jackson St, Po Drawer 1348, Americus, GA 31709-3015 | 2012-02-24 |
| Find all providers in AMERICUS | ||||
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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.