Individual
DR. JEFFREY WARREN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 430-9213
(229) 903-1585
Mailing address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 430-9213
(229) 903-1585
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01047231A
IN
207V00000X
Obstetrics & Gynecology Physician
034582
GA
207V00000X
Obstetrics & Gynecology Physician
4301071108
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200299850
—
IN
01
—
P01723961
RR MEDICARE
IN
Enumeration date
01/23/2007
Last updated
04/19/2026
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