Individual provider Active NPI

Ellores Elberta Brailey, MD

  • Obstetrics & Gynecology Physician
  • Asheville, NC
National Provider Identifier
1225134588
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27026 Issued in NC
Practice address
77 McDowell St
Asheville, NC 28801-4435
Phone
(828) 257-4745
Fax
(828) 407-4581
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 078605 GA
Obstetrics & Gynecology Physician 207V00000X 27026 NC Primary

Addresses

Primary practice location

77 McDowell St
Asheville, NC 28801-4435

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

Other practice location 1

106 E Broad St
Savannah, GA 31401-2917
Phone (912) 527-1000

Other identifiers 1

IdentifierTypeStateIssuer
7917755MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090212000227 NC Practitioner - Obstetrics/Gynecology 8325103005 Reassigns benefits to 1 organization
I20200930000957 GA Practitioner - Obstetrics/Gynecology 8325103005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

77 McDowell St
Asheville, NC 28801-4435
Phone (828) 257-4745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
078605GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers CurrentSince Dec 1, 2023 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc CurrentSince Jun 28, 2020 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Curtis V. Cooper Primary Health Care Inc. Current Accepting new patients
Curtis V. Cooper Primary Health Care Inc. CurrentSince Jun 28, 2020 Accepting new patients
Appalachian Mountain Community Health Centers CurrentSince Dec 1, 2023 Accepting new patients
Metrolina AIDS Project, Inc. Past Accepting new patients

Locations

5354 Reynolds St
Ste 420
Savannah, GA 31405
Phone (912) 355-1091

2 Roberts St
Savannah, GA 31408
Phone (912) 527-1100

106 E Broad St
Savannah, GA 31401
Phone (912) 527-1100

77 McDowell St
Asheville, NC 28801
Phone (828) 257-4745

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1225134588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014435",
            "telephone_number": "828-257-4745",
            "fax_number": "828-407-4581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314012917",
            "country_code": "US",
            "telephone_number": "912-527-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAILEY",
        "first_name": "ELLORES",
        "middle_name": "ELBERTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "078605",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "27026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7917755",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.