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

John Ellis IV

Individual provider Pharmacist · NPI 1063013613

John Ellis IV is a Pharmacist in Newnan, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

135 Rudders Xing
Newnan, GA 30263-7032
Phone: (678) 994-2192
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH024504 (GA)

Record details

NPI number1063013613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address135 Rudders Xing, Newnan, GA 30263-7032

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