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

Mr. Christopher Ellis, NP-C

Individual provider Nurse Practitioner · NPI 1568018414

Mr. Christopher Ellis, NP-C is a Nurse Practitioner in Thomasville, Georgia. Qualified in 2019, 7 years ago. Practices with Ccsg, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

116 Mimosa Dr
Thomasville, GA 31792-6605
Phone: (229) 584-5570
Fax: (229) 551-8697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN178005 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN178005 (GA)

Record details

NPI number1568018414
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESNovember 13, 2023
Certification dateNovember 16, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ccsg, Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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