Individual provider Active NPI

Steven Bobby Ellison, M.D.

  • Gastroenterology Physician
  • Murrells Inlet, SC
National Provider Identifier
1992724769
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
030455 Issued in GA
Practice address
4040 Highway 17 Unit 302
Murrells Inlet, SC 29576-5098
Phone
(843) 652-8290
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 030455 GA Primary

Addresses

Primary practice location

4040 Highway 17 Unit 302
Murrells Inlet, SC 29576-5098

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

606 Black River Rd Ste 300
Georgetown, SC 29440-3304
Phone (843) 652-8290

Other practice location 2

606 Black River Rd Ste 301
Georgetown, SC 29440-3304
Phone (843) 527-3428

Other practice location 3

2200 Crow Ln Ste 302
Myrtle Beach, SC 29577-1663
Phone (843) 848-5320

Other practice location 4

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5795

Other practice location 5

2460 Washington Rd
Thomson, GA 30824-6600
Phone (706) 774-5795

Other practice location 6

1120 15th St
Augusta, GA 30912-3918
Phone (706) 446-4887

Other practice location 7

3869 Highway 81
Loganville, GA 30052-3918
Phone (678) 635-8650

Other practice location 8

2200 Crow Ln Ste 102
Myrtle Beach, SC 29577-1663
Phone (843) 848-5120

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address stellison@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address stellison@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address stellison@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address stellison@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address steven.ellison@thg.eclinicaldirectplus.com
Direct Messaging Address stellison@tidelandshealth.org Direct Georgetown Physician Associates

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, VI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100921000969 GA Practitioner - Gastroenterology 9830214311 Reassigns benefits to 3 organizations
I20200410000688 SC Practitioner - Gastroenterology 9830214311 Reassigns benefits to 1 organization
I20210730002332 VI Practitioner - Gastroenterology 9830214311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of South Alabama College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Physician Associates, LLCGroup PAC ID 2365697398, 221 clinicians

Practice addresses (Care Compare)

606 Black River Rd
Suite 300
Georgetown, SC 29440-3304
Phone (843) 546-3132

Hospital & facility affiliations

  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030455GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 11, 2017 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Aug 1, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 11, 2017 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Aug 1, 2021 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1350 Walton Way
Fl 4
Augusta, GA 30901
Phone (706) 774-5795

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

606 Black River Rd
Ste 301
Georgetown, SC 29440
Phone (843) 527-3428

606 Black River Rd
Ste 300
Georgetown, SC 29440
Phone (843) 527-4343

1011 N Fraser St
Georgetown, SC 29440
Phone (803) 527-3428

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Unit 302
Murrells Inlet, SC 29576
Phone (843) 652-8290

2200 Crow Ln
Ste 302
Myrtle Beach, SC 29577
Phone (843) 848-5320

2200 Crow Ln
Ste 102
Myrtle Beach, SC 29577
Phone (843) 520-8217

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: stellison@tidelandshealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1992724769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HIGHWAY 17 UNIT 302",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765098",
            "telephone_number": "843-652-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Black River Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-652-8290",
            "fax_number": "843-546-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Black River Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-527-3428",
            "fax_number": "843-546-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 302",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5320",
            "fax_number": "843-652-8299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012612",
            "country_code": "US",
            "telephone_number": "706-774-5795",
            "fax_number": "706-774-5792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308246600",
            "country_code": "US",
            "telephone_number": "706-774-5795",
            "fax_number": "706-774-5792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309123918",
            "country_code": "US",
            "telephone_number": "706-446-4887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3869 Highway 81",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300523918",
            "country_code": "US",
            "telephone_number": "678-635-8650",
            "fax_number": "770-913-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5120",
            "fax_number": "843-848-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "STEVEN",
        "middle_name": "BOBBY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "030455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stellison@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd Ste 300",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stellison@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 302",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stellison@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 302",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stellison@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 102",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.ellison@thg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4040 Highway 17 Unit 302",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stellison@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd Ste 301",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.