Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003115254 Individual Practitioner Male Practitioner

Dr. Jack Bradley Ellis , DO

Internal Medicine • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Ellis, DO is a certified Internal Medicine practicing in Augusta, GA. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Ellis delivers high-quality medical care to the local community at 1120 15TH ST.

Dr. Ellis is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 30912

Telephone 7067218623
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Augusta, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -0.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
345 Specialists

Practicing in Augusta, GA (4065 Statewide)

Telehealth Adoption Rate
5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (15 Years) 15 Yrs
Augusta Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
246 99 $169.51 $74.14
99239 Hospital discharge day management, more than 30 minutes
59 57 $244.53 $107.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
37 23 $259.24 $110.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
35 35 $458.11 $161.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 17 $315.94 $123.83

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 072627

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

6135 Roosevelt Hwy, Warm Springs, GA 318302757

Phone: 7066555461

Wellstar Medical Group Llc

1120 15th St, Augusta, GA 309120004

Phone: 7067218623

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

989 Saint Sebastian Way, Augusta, GA 309120004

Phone: 7067212171

Secondary Practice Locations

9040 Fitzsimmons Dr

Joint Base Lewis Mcchord, WA 984311000

Phone: 2539680208

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Noelle Rolle , MD

Internal Medicine - Rheumatology

NPI 1003249194

Doctor of Medicine (M.D.)

Dr. Bryan Broach , MD

Internal Medicine

NPI 1003298902

Doctor of Medicine (M.D.)

NPI 1003299793

Doctor of Medicine (M.D.)

Dr. Kayla Shahbazian , DO

Internal Medicine

NPI 1003379280

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Winkler , MD

Radiology - Diagnostic Radiology

NPI 1003846692

Doctor of Medicine (M.D.)

Dr. Saroj Sharma , MD

Internal Medicine

NPI 1003927062

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 31, 2018

Registered at 1120 15TH ST, AUGUSTA, GA 30912 (Tel: 7067218623)

📍
Updated Business Mailing Address May 31, 2018

Registered at 1499 WALTON WAY STE 1400, AUGUSTA, GA 309012603 (Tel: 7037246100)

NPI Profile Active March 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2011

Registered at 9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 984311000 (Tel: 2539680208)

📍
Updated Business Mailing Address March 26, 2011

Registered at 9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 984311000 (Tel: 2539680208)

👤
Provider Name / Credentials Updated March 26, 2011

Recorded as JACK ELLIS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003115254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2011
Last Update: May 31, 2018
Sole Proprietor: No

Mailing Address

1499 Walton Way Ste 1400

Augusta, GA 309012603

Phone: 7037246100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.