Active NPI
Thomas Ellington
- Hospitalist Physician
- Braselton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 83379
- Practice address
- 1400 River PL
Braselton, GA 30517-5600 - Phone
- (770) 848-8000
- NPI assigned
- Jul 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 83379 | GA | Primary |
| Family Medicine Physician | 207Q00000X | 008553 | GA |
Addresses
Primary practice location
1400 River PL
Braselton, GA 30517-5600
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (404) 778-6382
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 River PL
Braselton, GA 30517-5600
Phone (770) 219-6000
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- NGMC Barrow, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Emory Specialty Associates, LLC | Family Medicine | Past | Accepting new patients |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1629420575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 RIVER PL",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175600",
"telephone_number": "770-848-8000"
}
],
"practiceLocations": [
{
"address_1": "2701 N Decatur Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300335918",
"country_code": "US",
"telephone_number": "404-778-6382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLINGTON",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-04",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "83379",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "008553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.