Reuben Kristian Ellis, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

055819 Issued in GA

Practice address

1425 Georgia Ave Ste 201a
Macon, GA 31201-6546

Phone

(478) 250-1325

NPI assigned

Jun 12, 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

Other identifiers 21

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

NephrologyAlso: Internal Medicine

Education

University of Alabama School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dialysis Care Center Pleasant Hill Dialysis facility, Macon, GA, CCN 852578
• Dublin Kidney Institute Dialysis facility, Dublin, GA, CCN 852550
• DaVita Dialysis Center of Middle Georgia-Warner Robins Dialysis facility, Warner Robins, GA, CCN 112620
• DaVita Downtown Warner Robins Dialysis facility, Warner Robins, GA, CCN 852606
• Usrc Macon Clinton Dialysis Dialysis facility, Macon, GA, CCN 112516
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
• Bleckley Memorial Hospital Hospital, Cochran, GA, CCN 111302

Merit-based Incentive Payment System (MIPS)

Final score

81.49 of 100Reported as individual

Quality

43.39

Improvement activities

40

Cost

87.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHIIBA/Endpoint/IHIIBA
• Direct secure messaging: rellis433576@carolinashealthcaresystem.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FEADBD/Endpoint/FEADBD

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.

• Midtown Infusion Center

  • Infusion Therapy Clinic/Center
  • Macon, GA
  • NPI 1922558352
  Medicare reassignment NPD Authorized official
• Physician Consultants of Georgia

  • Nephrology Physician
  • Macon, GA
  • NPI 1962762708
  Medicare reassignment NPD Authorized official
• Physician Consultants of Georgia Interventional LLC

  • Medical Specialty Clinic/Center
  • Macon, GA
  • NPI 1316389836
  Medicare reassignment NPD Authorized official
• Physician Consultants of Georgia Warner Robins LLC

  • Nephrology Physician
  • Warner Robins, GA
  • NPI 1033716139
  Medicare reassignment NPD
• Talis Healthcare LLC

  • Clinic/Center
  • Houston, TX
  • NPI 1821594060

  GA

  Medicare reassignment NPD
• Dublin Kidney Institute

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dublin, GA
  • NPI 1619473352
  NPD (past) Authorized official
• Guardian Medical Services, LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1255786521
  NPD (past)
• Macon Kidney Institute

  • Nephrology Physician
  • Macon, GA
  • NPI 1992638209
  NPD (past)
• Madalyn N. Davidoff, M.D., LLC

  • Cardiovascular Disease Physician
  • Warner Robins, GA
  • NPI 1093987562
  NPD (past)
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Irondale, AL
  • NPI 1821031824
  NPD (past)
• BHC - Montclair Hospitalist

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1568426690
  NPD (past)
• Southern Medical Group, Inc

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1194736009
  NPD (past)

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

• Dialysis Care Center Pleasant Hill LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Macon, GA
  • NPI 1265058275

  Dialysis facility

  Care Compare affiliation Name & address match
• Downtown Warner Robins Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Warner Robins, GA
  • NPI 1932823853

  Dialysis facility

  Care Compare affiliation Name & address match
• Dsi Macon, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Macon, GA
  • NPI 1114314598

  Dialysis facility

  Care Compare affiliation Name & address match
• Dublin Kidney Institute

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dublin, GA
  • NPI 1619473352

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Warner Robins, GA
  • NPI 1457320715

  Dialysis facility

  Care Compare affiliation Name & address match
• Bleckley County Hospital

  • Critical Access Hospital
  • Cochran, GA
  • NPI 1578637526
  Care Compare affiliation
• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  Care Compare affiliation
• Macon Northside Hospital, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1114969110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6612",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312086612",
            "telephone_number": "478-250-1325",
            "fax_number": "478-254-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GEORGIA AVE STE 201A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016546",
            "telephone_number": "478-250-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012045",
            "country_code": "US",
            "telephone_number": "404-877-8115",
            "fax_number": "678-376-9182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1445 Georgia Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312017612",
            "country_code": "US",
            "telephone_number": "478-250-1325",
            "fax_number": "478-254-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "REUBEN",
        "middle_name": "KRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "055819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684AC",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684AD",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684T",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684U",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684S",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684AB",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684R",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684Z",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684AA",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684V",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684W",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730346684Y",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jada McNair Elliott, LMSW
• Richard L Elliott, MD
• Ellis W Evans Sr MD Facs PC
• James Stephen Ellis, M.D.
• Linda A Ellis, BA, LMT
• Wendell K Ellis, MD
• Joseph Donald Ellwanger, DMD
• Chelsea Elmore, FNP-C
• Julius Brandon Elmore, M.D.
• Elo Outpatient Surgery Center LLC

• Nephrology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.