Ellis Integrative Family Practice Inc
NPI 1174101562ActiveOrganization· Family Medicine· Tavares, FL
Family Medicine in Tavares, Florida, registered in NPPES in March 2021. The authorized official on file is Gretta Ellis, ARNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174101562 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2021 |
| Last updated in NPPES | Apr 19, 2021 |
| Certified by provider | Apr 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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