Howard S Ellison MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOWARD S ELLISON MD PC

Practice address

1010 East Freeway Dr
Conyers, GA 30094

Phone

(770) 922-8222

Fax

(770) 922-2001

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Childers Lister, CPRP

Title

Office Manager

Phone

(770) 922-8222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1831134428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EAST FREEWAY DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-922-8222",
            "fax_number": "770-922-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EAST FREEWAY DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-922-8222",
            "fax_number": "770-922-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD S ELLISON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "CHILDERS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-922-8222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPRP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000193586A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siege Jason Hopkinson
• Azizul Hoque, MD
• Horizon Hospice, Inc
• Hospice Nurses of Georgia, LLC
• Tamey Taneal Howard Feltner, P.T., DPT
• Ramonda Regina Howard, PHARM.D.
• Selwynn Brian Howard, M.D.
• Jennifer Dale Howe, ATC
• Ericka Andrea Howell, NP-C
• Keith Howell, MD

• All providers in Conyers, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.