NPIMap

Individual provider Active NPI

George S. Ellis Jr., M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • New Orleans, LA
National Provider Identifier
1700828613
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
014253 Issued in LA
Practice address
200 Henry Clay Ave
Suite 3106
New Orleans, LA 70118-5720
Phone
(504) 896-9426
Fax
(504) 896-9312
NPI assigned
Jun 12, 2006
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 014253 LA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 014253 LA Primary

Addresses

Primary practice location

200 Henry Clay Ave
Suite 3106
New Orleans, LA 70118-5720

Mailing address

200 Henry Clay Ave
Suite 3106
New Orleans, LA 70118-5720
Phone (504) 896-9426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000607 LA Practitioner - Ophthalmology 0547168593 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, shared by 3 NPIs, 388 clinicians
Children's HospitalGroup PAC ID 8022207745, 20 clinicians
Caplan Eye Clinic a Professional Medical CorporationGroup PAC ID 2961507843, 7 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
FL 4
New Orleans, LA 70112-2600
Phone (504) 988-5620

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9745

3409 N Hullen St
Metairie, LA 70002-3485

3409 N Hullen St
Metairie, LA 70002-3486

95 Fairway Dr
Covington, LA 70433-4969
Phone (985) 867-3800

Hospital & facility affiliations

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1700828613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "address_2": "SUITE 3106",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9426",
            "fax_number": "504-896-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "address_2": "SUITE 3106",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9426",
            "fax_number": "504-896-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "GEORGE",
        "middle_name": "S.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "014253",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "LA",
            "license": "014253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.