P Praxis·MD
● Active Type 1 · Individual

Keith Errett Ellis, M.D.

Family Medicine·Savannah, GA· NPI 1356490775 · Enumerated 2007 · 19 years on NPI
Ellis is 1 of 119 family medicine providers in Savannah and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2007-01-09
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-03-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1107 E 66th St
Savannah, GA 314045701
📞 9123508404fax 9123508067
Mailing address
1107 E 66th St
Savannah, GA 314045701
📞 9123508404fax 9123508067

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #26106 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 000526578C
05 (GA) 000526578B
01 (GA) 080164682 RR MEDICARE
01 (GA) CH5121 RR MEDICARE GROUP ID
01 (GA) GRP3905 GA MEDICARE GROUP ID
05 (SC) G26106
01 582162071-014 HMHS/TRICARE SOUTH

Practice context

Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new family medicine provider has been added in Savannah in the last 180 days. See all →
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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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