Individual provider Active NPI

Joy A Ellis-George, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1124586623
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN1033878 Issued in DC
Practice address
1400 Mercantile LN Ste 252
Upper Marlboro, MD 20774-5333
Phone
(844) 200-3273
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN1033878 DC Primary

Addresses

Primary practice location

1400 Mercantile LN Ste 252
Upper Marlboro, MD 20774-5333

Mailing address

1338 N Capitol St NW
Washington, DC 20002-3396
Phone (202) 745-0073

Other practice location 1

1338 N Capitol St NW
Washington, DC 20002-3396
Phone (202) 745-0073

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jellis-george@mcclendoncenter.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201000658 DC Practitioner - Nurse Practitioner 5395156111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1033878DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dare to Care Too LLC CurrentSince Jul 28, 2024 Accepting new patients
Dare to Care Too LLC CurrentSince Oct 30, 2020 Accepting new patients

Locations

1401 Mercantile Ln
Ste 321
Upper Marlboro, MD 20774
Phone (240) 528-1680

1400 Mercantile Ln
Ste 252
Upper Marlboro, MD 20774
Phone (240) 324-8968

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1124586623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 N CAPITOL ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023396",
            "telephone_number": "202-745-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 252",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745333",
            "telephone_number": "844-200-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 N Capitol St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023396",
            "country_code": "US",
            "telephone_number": "202-745-0073",
            "fax_number": "202-745-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS-GEORGE",
        "first_name": "JOY",
        "middle_name": "A",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1033878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jellis-george@mcclendoncenter.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "1338 N Capitol St NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200023396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.