Sharon Kelly Ellis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1283 Issued in GA

Practice address

5370 Stone Mountain Hwy
Suite 700
Stone Mountain, GA 30087-3581

Phone

(770) 879-1961

Fax

(770) 879-9872

NPI assigned

Nov 28, 2006

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sellis@teg.emadirect.md

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.

• Thomas Eye Group PC

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1548271992

  Optometrist

  Medicare reassignment NPD
• Thomas Eye Group PC

  • Optometrist
  • Stone Mountain, GA
  • NPI 1043032840
  NPD
• Thomas Eye Group PC

  • Ophthalmology Physician
  • Smyrna, GA
  • NPI 1649681420
  NPD
• Medprime, LLC

  • General Practice Physician
  • Atlanta, GA
  • NPI 1578843256
  NPD (past)
• Thomas Eye Group PC

  • Optometrist
  • Stone Mountain, GA
  • NPI 1740946250
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336215599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 PROVIDENCE LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842629",
            "telephone_number": "678-937-1622",
            "fax_number": "678-937-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 STONE MOUNTAIN HWY",
            "address_2": "SUITE 700",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873581",
            "telephone_number": "770-879-1961",
            "fax_number": "770-879-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SHARON",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy U Ekam
• Elite Care Angels Inc
• Marleen Ellegor, MSW
• Antoinette Elliott
• Elliott'S Love and Care Services LLC
• Esther Ellison
• Elmore Alexander D.O.,P.C.
• Empower Haus Collective, LLC.
• Epic Consulting Services, LLC
• Cathy Culbreth Espy, PA-C

• Optometrist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Optometrist in Georgia

• 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.
• 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.