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

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

024806 Issued in GA

Legal business name

GREGORY T. ELLISON, M.D.,P.C.

Practice address

1430 B Harper Street
Augusta, GA 30901

Phone

(706) 724-5451

Fax

(706) 724-9562

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Gregory T Ellison, M.D.

Title

President

Phone

(706) 724-5451

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Donovan Harrell, PA-C

  • Physician Assistant
  • Augusta, GA
  • NPI 1821320888
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1700970357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 B HARPER STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-5451",
            "fax_number": "706-724-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 B HARPER STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-724-5451",
            "fax_number": "706-724-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY T. ELLISON, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-724-5451",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "024806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00325949C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA817",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakenya Greer, M. ED.
• Emily Gregg
• Casey Layne Gregoire, DO
• Sergio Gregoretti, MD
• Gregory a Clepper DMD, LLC
• Janis D Gregory, LMT
• Jonie Gregory, PHARMD
• Lisa Marie Gregory, PT
• Valerie Renee' Grenald, APRN
• Jonnice C Grentz, CRNA

• Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.