Active NPI
Ellen Kendall Dellinger, APRN
- Women's Health Nurse Practitioner
- Watkinsville, GA
National Provider Identifier
1114741402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN242639
- Practice address
- 1731 Meriweather Dr Ste 100
Watkinsville, GA 30677-7746 - Phone
- (706) 431-5368
- NPI assigned
- Nov 13, 2024
- Last updated
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN242639 | GA | Primary |
Addresses
Primary practice location
1731 Meriweather Dr Ste 100
Watkinsville, GA 30677-7746
Mailing address
53 Whitehead Dr
Watkinsville, GA 30677-2451
Phone (678) 350-3068
Other practice location 1
1750 S Lumpkin St
Athens, GA 30606-4739
Phone (706) 353-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN242639 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingram Anesthesia Inc | Single Specialty | Past | Accepting new patients |
| Ashford Center for Gynecologic Surgery LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFHEDD/Endpoint/DFHEDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Athens, GA
- NPI 1710141601
-
- Certified Registered Nurse Anesthetist
- Athens, GA
- NPI 1073767182
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1114741402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 WHITEHEAD DR",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306772451",
"telephone_number": "678-350-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 MERIWEATHER DR STE 100",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777746",
"telephone_number": "706-431-5368"
}
],
"practiceLocations": [
{
"address_1": "1750 S Lumpkin St",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306064739",
"country_code": "US",
"telephone_number": "706-353-2550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELLINGER",
"first_name": "ELLEN",
"middle_name": "KENDALL",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN242639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.