Active NPI
Pythias Doyle
- Nurse's Aide
- Ellenwood, GA
National Provider Identifier
1699625582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CN0030049186
- Practice address
- 4262 Ivy Run
Ellenwood, GA 30294-6522 - Phone
- (404) 202-4187
- NPI assigned
- Jan 30, 2026
- Last updated
- Jan 30, 2026
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CN0030049186 | GA | Primary |
Addresses
Primary practice location
4262 Ivy Run
Ellenwood, GA 30294-6522
Mailing address
4262 Ivy Run
Ellenwood, GA 30294-6522
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0030049186 | GA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennie's R US Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pennie's Staffing Agency
- Pediatric Skilled Nursing Facility
- Ellenwood, GA
- NPI 1811589682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1699625582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4262 IVY RUN",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302946522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4262 IVY RUN",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302946522",
"telephone_number": "404-202-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "PYTHIAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-30",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "CN0030049186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.