Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David J. Ellis, DO, LLC

Organization Family Medicine Physician · NPI 1356495238

David J. Ellis, DO, LLC is a Family Medicine Physician in Hazlehurst, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

143 S Tallahassee St
Hazlehurst, GA 31539-6466
Phone: (912) 375-7575
Fax: (912) 375-7553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 020865 (GA)

Record details

NPI number1356495238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Ellis — Physician · (912) 375-7575
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 20, 2009
Mailing addressPo Box 4207, Macon, GA 31208-4207

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