Marc Allen Ellis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007215 Issued in GA

Practice address

903 Bombay LN
Roswell, GA 30076-5829

Phone

(770) 664-4288

NPI assigned

Dec 4, 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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Georgia Chiropractic Neurology Center LLC

  • Neurology Chiropractor
  • Roswell, GA
  • NPI 1114461852
  Medicare reassignment NPD Authorized official
• Choose Life Inc

  • Neurology Chiropractor
  • Roswell, GA
  • NPI 1831216886
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073671970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765829",
            "telephone_number": "770-664-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765829",
            "telephone_number": "770-664-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MARC",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha W Buckley DDS PC
• Elite Care Internal Medicine PC
• Anna Elkins, DC
• Tony Elliott
• Karl L Ellis Jr., D.C.
• Brittany Latrese Ellison, CNM
• Kenneth Mark Ellner, M.D.
• Embracing Hope Homecare Inc
• Emergency Care USA Georgia P.C.
• Emotional Wellness of Roswell

• Chiropractor in Roswell, GA
• Providers in Roswell, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.