Mr Jason Daniel Ellis, RN - Registered Nurse in Douglasville, GA

Mr Jason Daniel Ellis, RN is a Registered Nurse based in Douglasville, Georgia. Mr Jason Daniel Ellis is licensed to practice in Georgia (license number RN155630) and his current practice location is 4510 Nocohoma Bnd, Douglasville, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 485-6905.

NPI number for Mr Jason Daniel Ellis is 1194840470 and his current mailing address is 4510 Nocohoma Bnd, Douglasville, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194840470.

Contact Information

Mr Jason Daniel Ellis, RN
4510 Nocohoma Bnd,
Douglasville, GA 30135-8447
(678) 485-6905
Not Available

Map and Direction




Provider's Profile

Full NameMr Jason Daniel Ellis
GenderMale
SpecialityRegistered Nurse
Location4510 Nocohoma Bnd, Douglasville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194840470
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jason Daniel Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194840470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN155630 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jason Daniel Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jason Daniel Ellis, RN
4510 Nocohoma Bnd,
Douglasville, GA 30135-8447

Ph: (678) 485-6905
Mr Jason Daniel Ellis, RN
4510 Nocohoma Bnd,
Douglasville, GA 30135-8447

Ph: (678) 485-6905

Reviews and Comments


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