William L Ellis Sr.

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

2412 16TH Ave Apt a
Columbus, GA 31901-1311

Phone

(706) 801-6505

Fax

(706) 801-6505

NPI assigned

Aug 11, 2026

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

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1215852207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 16TH AVE APT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011311",
            "telephone_number": "706-801-6505",
            "fax_number": "705-801-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 16TH AVE APT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011311",
            "telephone_number": "706-801-6505",
            "fax_number": "706-801-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Elliott, LDO
• Ashaunda Ellis, RBT
• Heather Nicole Ellis, MSW
• Jennifer Ellis
• Michael Alan Ellis, D.O.
• Brooke Elizabeth Ellison, RDN, LDN
• Deborah Kay Chadwick Ellison
• Miara Elmore, RBT-19-80379
• Victoria Elrod
• Amy Ely, PHARMD

• Pastoral Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.