NPI age
19 years
Enumerated 2006-06-12
● Active
Type 1 · Individual
DR. Reuben Kristian Ellis, M.D.
Ellis is 1 of 25 internal medicine providers in MacOn and 1 of 562 in Georgia.
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-11-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 562 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
1425 Georgia Ave Ste 201a
MacOn, GA 312016546
Mailing address
Po Box 6612
MacOn, GA 312086612
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
791 Poplar St
MacOn, GA 312012045
Location 3
1445 Georgia Ave Ste 3
MacOn, GA 312017612
Specialties
-
Internal Medicine PrimaryAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 730346684AC | |
| 05 (GA) | 730346684AD | |
| 05 (GA) | 730346684K | |
| 05 (GA) | 730346684T | |
| 05 (GA) | 730346684U | |
| 05 (GA) | 730346684X | |
| 05 (GA) | 730346684P | |
| 05 (GA) | 730346684S | |
| 05 (GA) | 730346684AB | |
| 05 (GA) | 730346684M | |
| 05 (GA) | 730346684R | |
| 05 (GA) | 730346684J | |
| 05 (GA) | 730346684O | |
| 05 (GA) | 730346684Z | |
| 05 (GA) | 730346684AA | |
| 05 (GA) | 730346684G | |
| 05 (GA) | 730346684N | |
| 05 (GA) | 730346684Q | |
| 05 (GA) | 730346684V | |
| 05 (GA) | 730346684W | |
| 05 (GA) | 730346684Y |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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