Mr Howard Steven Ellison, MD | |
1010 East Freeway Drive, Conyers, GA 30094 | |
(770) 922-8222 | |
(770) 922-2001 |
Full Name | Mr Howard Steven Ellison |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 48 Years |
Location | 1010 East Freeway Drive, Conyers, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962410464 | NPI | - | NPPES |
10588878 | Other | CAQH | |
000193586A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 020695 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Rockdale Hospital | Conyers, GA | Hospital |
Piedmont Newton Hospital | Covington, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Of Georgia Llc | 4284951542 | 332 |
Esop Rehabilitation Llc | 9739305749 | 130 |
Entity Name | Privia Medical Group Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Mr Howard Steven Ellison, MD 1010 East Freeway Drive, Conyers, GA 30094 Ph: (770) 922-8222 | Mr Howard Steven Ellison, MD 1010 East Freeway Drive, Conyers, GA 30094 Ph: (770) 922-8222 |
Dr. Sitharam Chowdary Nandigam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Marshall David Almand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Well Brook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 | |
Dr. Ekundayo Adedapo Falase, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Mr. Richard Carter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094 Phone: 770-761-7260 Fax: 678-413-1818 | |
Osarenomase Egharevba, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Kawanjit Surapur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 404-350-0009 | |
Dr. Christin-lauren Tanksley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 Milstead Ave Ne Ste C, Conyers, GA 30012 Phone: 770-918-2310 |