Dr. John F Ellenberg , MD
Specialist • Brunswick, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Ellenberg has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Ellenberg, MD was a registered Specialist practicing in Brunswick, GA. Throughout an active medical career spanning 12 years, Dr. Ellenberg provided care at the practice location at 3300 4TH ST until profile deactivation on 2018-06-14.
Practice Location & Contact Primary Location
3300 4th St
Brunswick, GA 315203779
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Brunswick, GA
Practicing in Brunswick, GA (979 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Obstetrics & Gynecology - Gynecologic Oncology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 14, 2018
NPI status registered as active in NPPES database
Registered at 3300 4TH ST, BRUNSWICK, GA 315203779 (Tel: 9122670884)
Registered at 3300 4TH ST, BRUNSWICK, GA 315203779 (Tel: 9122670884)
Recorded as JOHN ELLENBERG, M.D.
Specialist (License #021451 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3300 4th St
Brunswick, GA 315203779
Phone: 9122670884
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