P Praxis·MD
● Active Type 1 · Individual

Mark A Ellis, MD

Pain Medicine·Athens, GA· NPI 1730150194 · Enumerated 2006 · 20 years on NPI
Ellis is 1 of 10 pain medicine providers in Athens and 1 of 315 in Georgia.
NPI age
20 years
Enumerated 2006-02-01
Primary specialty
Pain Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-08-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 315 active pain medicine providers in Georgia.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
48% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
1765 Old West Broad St, Bldg 1 Ste 200
Athens, GA 306062867
📞 7062080451fax 7062080147
Mailing address
Po Box 7577
Athens, GA 306047577
📞 7062080451fax 7062080147

Specialties

  • Pain Medicine Primary
    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
    GA license #036525 taxonomy 208VP0014X

Identifiers

TypeValueNotes
05 (GA) 000526479B

Practice context

Part of a multi-provider practice. 90 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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