Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Ezra Daniel Ellis, M.D.

Anatomic Pathology & Clinical Pathology Physician in Gainesville, GA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164602611

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Registry record

Entity type Individual (Type 1)

Name Dr. Ezra Daniel Ellis

Credential M.D.

Sex Male

Practice address 743 Spring St Ne, Gainesville, GA, 30501

Phone (770) 219-1136

Fax (770) 219-6204

Enumeration date Nov 13, 2007

Last updated in NPPES Oct 28, 2019

Taxonomy & licenses

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License M-10161 (ID) Secondary

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 2007-00176 (NC) Secondary

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 70094 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000010167581	Other	ID	REGENCE BLUESHIELD OF IDAHO
77342	Other	ID	BLUECROSS OF IDAHO
808087600	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Ezra Ellis?

Ezra Ellis is registered in NPPES with the primary taxonomy of Anatomic Pathology & Clinical Pathology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-28.