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

Mark A Ellis, MD

Individual provider Interventional Pain Medicine Physician · NPI 1730150194

Mark A Ellis, MD is an Interventional Pain Management in Athens, Georgia. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 1985, 41 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
41
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1765 Old West Broad St Bldg 1 Ste 200
Athens, GA 30606-2867
Phone: (706) 208-0451
Fax: (706) 208-0147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 036525 (GA)

Record details

NPI number1730150194
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESAugust 21, 2012
Mailing addressPo Box 7577, Athens, GA 30604-7577

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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