William John Ellis, ATC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

AT000706 Issued in GA

Practice address

3624 J Dewey Gray Cir Ste 302
Doctors Hospital Sports Medicine
Augusta, GA 30909-6580

Phone

(706) 651-2270

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Doctors Hospital of Augusta, LLC

  • Rehabilitation Hospital Unit
  • Augusta, GA
  • NPI 1821042870
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093878803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 MCDOWELL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR STE 302",
            "address_2": "DOCTORS HOSPITAL SPORTS MEDICINE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096580",
            "telephone_number": "706-651-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "GA",
            "license": "AT000706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Ellis, MD
• Patricia Ellis
• Shamara Ellis
• Sherell Ellis, LPC; BCBA
• Terry Randal Ellis, DMD
• Gregory Taylor Ellison
• William Ellisor, RPH, PHARMD
• Ahmed A. Elmarakby, DR.
• Khaled Mosaad Mohamed Arafa Elsakka, MD
• Omar Elsayed, MBBCH

• Rehabilitation Hospital in Augusta, GA
• Providers in Augusta, GA by specialty
• Rehabilitation Hospital 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.