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

Dr. Shannon Scott Ellis, MD

Individual provider Family Medicine Physician · NPI 1124219563

Dr. Shannon Scott Ellis, MD is a Family Practice in Hoschton, Georgia. Graduated from East Tennessee State University Quillen College of Medicine in 2005, 21 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and North Carolina.

Years since qualifying
21
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
GA, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

26 W Jackson Commons Dr
Hoschton, GA 30548-1897
Phone: (706) 658-2452
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 072568 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2007-01049 (NC)

Record details

NPI number1124219563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Hoschton