Active NPI
Ellis M. Knight, MD
- Internal Medicine Physician
- Silver City, NM
National Provider Identifier
1699716340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2022-0306
- Practice address
- 1007 N Pope St
Silver City, NM 88061-5161 - Phone
- (575) 388-1511
- Fax
- (575) 313-8236
- NPI assigned
- Jun 10, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2022-0306 | NM | Primary |
| Internal Medicine Physician | 207R00000X | 80976 | GA |
Addresses
Primary practice location
1007 N Pope St
Silver City, NM 88061-5161
Mailing address
530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-8384
Other practice location 1
1364 Clifton Rd NE
Atlanta, GA 30322-0001
Phone (404) 778-5351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80976 | Other | GA | GA BOARD OF MEDICAL EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80976 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1699716340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 DE MOSS ST",
"city": "LORDSBURG",
"state": "NM",
"postal_code": "880452618",
"telephone_number": "575-542-8384",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 N POPE ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615161",
"telephone_number": "575-388-1511",
"fax_number": "575-313-8236"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303220001",
"country_code": "US",
"telephone_number": "404-778-5351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIGHT",
"first_name": "ELLIS",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2022-0306",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "80976",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA BOARD OF MEDICAL EXAMINERS",
"identifier": "80976",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.