NPIMap

Individual provider Active NPI

James David Ellner, M.D.

  • Interventional Pain Medicine Physician
  • Woodstock, GA
National Provider Identifier
1720138696
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
035861 Issued in GA
Practice address
120 Stonebridge Pkwy
Suite 420
Woodstock, GA 30189-3767
Phone
(770) 544-1000
Fax
(770) 544-0302
NPI assigned
Jan 11, 2007
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 035861 GA
Interventional Pain Medicine Physician 208VP0014X 035861 GA Primary

Addresses

Primary practice location

120 Stonebridge Pkwy
Suite 420
Woodstock, GA 30189-3767

Mailing address

120 Stonebridge Pkwy
Suite 420
Woodstock, GA 30189-3767
Phone (770) 544-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20041004000274 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3173507449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 Stonebridge Pkwy
Suite 420
Woodstock, GA 30189-3769
Phone (770) 544-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035861GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain Management CurrentSince Jan 1, 2002 Accepting new patients
Samson Pain Center PC CurrentSince Dec 18, 2002 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients

Locations

100 Stoneforest Dr
Ste 100
Woodstock, GA 30189
Phone (678) 637-7925

120 Stonebridge Pkwy
Ste 420
Woodstock, GA 30189
Phone (770) 544-1000

Interoperability endpoints

  • Direct secure messaging: jellner@gapain.gwaydirect.com

Organizations & group practices 3

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 6

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1720138696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE PKWY",
            "address_2": "SUITE 420",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893767",
            "telephone_number": "770-544-1000",
            "fax_number": "770-544-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE PKWY",
            "address_2": "SUITE 420",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893767",
            "telephone_number": "770-544-1000",
            "fax_number": "770-544-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLNER",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "035861",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "035861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.