Gregory T. Ellison, M.D.,P.C.

LBN: Gregory T. Ellison, M.D.,P.C.
Gregory T. Ellison, M.D.,P.C. is an health care organization with primary practice located at 1430 B Harper Street , Augusta GA 30901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Gregory T. Ellison, M.D.,P.C. can be contacted via phone (706) 724-5451, or through Ellison, Gregory T via phone (706) 724-5451.

Contact Information

Primary practice address
1430 B Harper Street Augusta GA 30901
Phone: (706) 724-5451
Fax: (706) 724-9562
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Gregory T Doctor of Medicine (MD)
Phone: (706) 724-5451

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 024806 Georgia

Profile Details

NPI number 1700970357
LBN Legal business name Gregory T. Ellison, M.D.,P.C.
DBA Doing business as
Authorized official Ellison, Gregory T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700970357 NPPES
Georgia MEDICAID 00325949C
Georgia MEDICAID GPA817

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