Margaret Ellzey-Nichols, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3559-10 Issued in MS

Practice address

1212 Mission 66
Vicksburg, MS 39183-3137

Phone

(601) 636-5321

Fax

(601) 636-5321

NPI assigned

Aug 2, 2010

Sex

Female

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

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.

• Janet S Fisher DMD PA

  • Dentist
  • Vicksburg, MS
  • NPI 1023117991
  NPD (past)
• Vicksburg Family Dental

  • General Practice Dentistry
  • Vicksburg, MS
  • NPI 1235497108
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1154635159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 KENZIE DRIVE",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104519",
            "telephone_number": "601-270-7903",
            "fax_number": "601-883-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833137",
            "telephone_number": "601-636-5321",
            "fax_number": "601-636-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLZEY-NICHOLS",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3559-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Performance and Rehab, LLC
• Danny Ellis, NP
• Kaitlyn Ellis, D.M.D.
• Michael Barry Ellis, D.M.D.,P.A.
• Angela Kelley Elllis
• Sharon Elverton, PCMHT
• Tammy Carol English, PT, DPT
• Jeffrey Erickson
• Sheila Erves
• Samonia Lynn Etheridge, LPC

• General Practice Dentistry in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.