Active NPI
Debbie Ellis, N.P.
- Family Medicine Physician
- Easley, SC
National Provider Identifier
1215943386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 606
- Practice address
- 106 John St
Easley, SC 29640-1415 - Phone
- (864) 855-5104
- Fax
- (864) 859-9362
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 606 | SC | Primary |
Addresses
Primary practice location
106 John St
Easley, SC 29640-1415
Mailing address
PO Box 2089
Easley, SC 29641-2089
Phone (864) 855-5104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043260029 | Other | GROUP NPI |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215943386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2089",
"city": "EASLEY",
"state": "SC",
"postal_code": "296412089",
"telephone_number": "864-855-5104",
"fax_number": "864-859-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 JOHN ST",
"city": "EASLEY",
"state": "SC",
"postal_code": "296401415",
"telephone_number": "864-855-5104",
"fax_number": "864-859-9362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "DEBBIE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1043260029",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
- Shawn Conley Edwards, DMD
- Elevate Audiology LLC
- Ashley Rogers Ellenburg
- Jed Riley Ellenburg, DC
- Beverly Turner Ellington, MD
- Kimberly Chew Ellison, APRN, FNP-BC
- Lena Renee Elrod, LPC-A
- Ember ABA and Pediatric Therapy, LLC
- Emerald Transport Services, LLC
- Emericare Countryside Village LLC (Brookdale Easley)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.