Ellis Pediatrics, PLLC
NPI 1134844426ActiveOrganization· Pediatrics· Jacksonville, FL
Pediatrics in Jacksonville, Florida, registered in NPPES in October 2022. The authorized official on file is Kenyanita Ellis, DO, Owner/Pediatrician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134844426 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2022 |
| Last updated in NPPES | Mar 1, 2023 |
| Certified by provider | Mar 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Pediatrics providers in Jacksonville
- 1619325784
- 1750476065
- 1033785001
- 1174199137
- 1568038511
- 1598331563
- 1487971842
- 1467608851
- 1699722751
- 1124930086
- 1356677819
- 1497364707