NPI age
12 years
Enumerated 2013-07-25
● Active Type 2 · Organization
Physician Consultants Of Georgia Interventional Llc
Physician Consultants Of Georgia Interventional Llc is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellis
Proprietor
Last NPPES update
2020-11-19
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
12 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 14% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1445 Georgia Ave, Suite 1
MacOn, GA 312017610
Mailing address
Po Box 4461
MacOn, GA 312084461
Authorized official
Reuben Kris Ellis, M.D., FASN
Proprietor
📞 4782501328
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Ahmed Yousef, PT, PHD Physical Medicine & Rehabilitation NPI 1336185214
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
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Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003124971A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MIDTOWN VASCULAR CENTER
-
MIDTOWN VASCULAR CENTER
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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