Individual provider Active NPI

James Stephen Ellis, M.D.

  • Ophthalmology Physician
  • Macon, GA
National Provider Identifier
1962435800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
03413 Issued in GA
Practice address
626 1St St
Macon, GA 31201-2805
Phone
(478) 743-4666
Fax
(478) 743-4740
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 03413 GA Primary

Addresses

Primary practice location

626 1St St
Macon, GA 31201-2805

Mailing address

PO Box 956
Macon, GA 31202-0956
Phone (478) 743-4666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000598 GA Practitioner - Ophthalmology 5496708943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Eye GroupGroup PAC ID 0345581229, 7 clinicians

Practice addresses (Care Compare)

4050 Riverside Dr
Macon, GA 31210-1805
Phone (478) 744-1710

Merit-based Incentive Payment System (MIPS)

Final score
98.5 of 100Reported as individual
Quality
100
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03413GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians Professional Association Ophthalmology CurrentSince Jul 1, 1991 Accepting new patients
Vision Eye Group Ophthalmology CurrentSince Jun 30, 2019 Accepting new patients
Vision Eye Group Optical CurrentSince Jul 1, 1991 Accepting new patients

Locations

4050 Riverside Dr
Macon, GA 31210
Phone (478) 744-1710

626 1st St
Macon, GA 31201
Phone (478) 239-3765

Interoperability endpoints

  • Direct secure messaging: james.ellis@1485.chartlogic.direct-ci.com
  • Direct secure messaging: jellis@visioneyegroup.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962435800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312020956",
            "telephone_number": "478-743-4666",
            "fax_number": "478-743-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012805",
            "telephone_number": "478-743-4666",
            "fax_number": "478-743-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "03413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.