Percita Loren Ellis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101231232 Issued in VA

Practice address

6 Grouse Run Rd
Lexington, VA 24450-2252

Phone

(540) 463-1006

Fax

(540) 463-2003

NPI assigned

Feb 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • South Boston, VA
  • NPI 1235677634
  Medicare reassignment NPD
• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1649240698
  Medicare reassignment NPD
• Piedmont Access to Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1578696910
  NPD
• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1114630662
  NPD

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962477281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GROUSE RUN RD",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502252",
            "telephone_number": "540-463-1006",
            "fax_number": "540-463-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GROUSE RUN RD",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502252",
            "telephone_number": "540-463-1006",
            "fax_number": "540-463-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PERCITA",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101231232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toan Quang Duong Jr., D.D.S
• Amelia Durst, MAT, LAT, ATC
• Dva Healthcare Renal Care Inc
• Elizabeth Anne Criqui; M.Ed.,CCC/SLP
• David A Ellington, M D
• Emmalee Erekson
• Katherine Eyegue-Sandy, CRNP
• Family Preservation Services, Inc
• Family Preservation Services, Inc
• Family Preservation Services, Inc

• Pediatrics Physician in Lexington, VA
• Providers in Lexington, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.