P Praxis·MD
● Active Type 1 · Individual

DR. Shannon Bolling Ellis, D.O.

Preventive Medicine·Savannah, GA· NPI 1295706166 · Enumerated 2006 · 20 years on NPI
Ellis is 1 of 6 preventive medicine providers in Savannah and 1 of 131 in Georgia.
NPI age
20 years
Enumerated 2006-01-30
Primary specialty
Preventive Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 131 active preventive medicine providers in Georgia.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
400 Mall Blvd Ste G
Savannah, GA 314064820
📞 9126445200fax 9123495691
Mailing address
815 Oak Landing Rd
Jesup, GA 315461518
📞 9124242925

Specialties

  • Preventive Medicine Primary
    Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...
    GA license #073702 taxonomy 2083P0901X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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