MARK A ELLIS MD PC NPI 1841261294

NPI Information

  • NPI: 1841261294
  • Provider Name: MARK A ELLIS, MD, PC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Other Name: ELLIS PAIN MANAGEMENT
  • Address: 1500 LANGFORD MEDICAL DRIVE
    SUITE 200
    BOGART, GA
    ZIP 30622
  • Phone: (706) 208-0451

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NPI Details

MARK A ELLIS, MD, PC is a pain medicine physical medicine rehabilitation in Bogart, GA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. MARK A ELLIS, MD, PC NPI is 1841261294. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ellis Pain Management.

The provider's business location address is:

1500 LANGFORD MEDICAL DRIVE
SUITE 200
BOGART, GA
ZIP 30622-220
Phone: (706) 208-0451
Fax: (706) 208-0147

The provider's authorized official is Mark A Ellis .
The authorized official title is President and has the following contact phone number (706) 208-0451.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineGEORGIANo
22081P2900XPhysical Medicine & RehabilitationPain MedicineGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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