Active NPI
Cindy L Ellis, EEG TECHNICIAN
- EEG Technician
- Lagrange, GA
National Provider Identifier
1700877008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Technician
- Practice address
- 100 Colorado CT
Lagrange, GA 30240-9523 - Phone
- (706) 884-3502
- Fax
- (706) 845-3700
- NPI assigned
- Nov 4, 2005
- 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 |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | Primary |
Addresses
Primary practice location
100 Colorado CT
Lagrange, GA 30240-9523
Mailing address
100 Colorado CT
Lagrange, GA 30240-9523
Phone (706) 884-3502
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700877008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COLORADO CT",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302409523",
"telephone_number": "706-884-3502",
"fax_number": "706-845-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COLORADO CT",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302409523",
"telephone_number": "706-884-3502",
"fax_number": "706-845-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "CINDY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "EEG TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.