Active NPI
Ellen Cary Gallman, DNP, APRN, RD
- Nurse Practitioner
- Elkridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20281
- Practice address
- 6675 Business Pkwy Ste F
Elkridge, MD 21075-6349 - Phone
- (866) 799-5886
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002649 | NC | |
| Nurse Practitioner | 363L00000X | 20281 | SC | Primary |
Addresses
Primary practice location
6675 Business Pkwy Ste F
Elkridge, MD 21075-6349
Mailing address
331 Clayton Dr
Charleston, SC 29414-5048
Phone (704) 576-8986
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Other practice location 2
2270 Ashley Crossing Dr Ste 170
Charleston, SC 29414-5749
Phone (843) 763-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4029 | Medicaid | SC |
Other names 1
- Ellen Burnett Cary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002649 | NC | MD | Registered Dietitian |
| 20281 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Nurse Practitioner | Current | Accepting new patients |
Locations
2270 Ashley Crossing Dr
Ste 170
Charleston, SC 29414
Phone (843) 763-3700
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Organizations & group practices 4
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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1881763324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 CLAYTON DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145048",
"telephone_number": "704-576-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 BUSINESS PKWY STE F",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756349",
"telephone_number": "866-799-5886"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258908",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2270 Ashley Crossing Dr Ste 170",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145749",
"country_code": "US",
"telephone_number": "843-763-3700",
"fax_number": "843-763-3714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLMAN",
"first_name": "ELLEN",
"middle_name": "CARY",
"name_prefix": "Ms.",
"credential": "DNP, APRN, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2021-05-31",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002649",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "20281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP4029",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "CARY",
"middle_name": "BURNETT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.