Michael Alan Ellis, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

062835 Issued in GA

Practice address

2000 16TH Avenue
Columbus, GA 31901-1665

Phone

(706) 320-3770

Fax

(706) 320-3772

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Francis Physician Practices LLCGroup PAC ID 8729381033, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michale.ellis@sfhga.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Francis Physician Practices LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment Care Compare group NPD
• St Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1083088637
  NPD
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646
  NPD
• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  NPD (past)
• St Francis Physician Practices LLC

  • Clinical Cardiac Electrophysiology Physician
  • Columbus, GA
  • NPI 1982079323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1003981671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 2001A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-320-3126",
            "fax_number": "706-320-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 16TH AVENUE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011665",
            "telephone_number": "706-320-3770",
            "fax_number": "706-320-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "062835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112485",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216425865A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desire' Marie Elliott
• Teresa Elliott, LDO
• Ashaunda Ellis, RBT
• Heather Nicole Ellis, MSW
• Jennifer Ellis
• William L Ellis Sr.
• Brooke Elizabeth Ellison, RDN, LDN
• Deborah Kay Chadwick Ellison
• Miara Elmore, RBT-19-80379
• Victoria Elrod

• Psychiatry Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.