Erin Ellison, | |
222 Gordon St, Bremen, GA 30110-1519 | |
(770) 537-1234 | |
Not Available |
Full Name | Erin Ellison |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 222 Gordon St, Bremen, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669710786 | NPI | - | NPPES |
1861915647 | Other | GA | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN198477 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN198477 (Georgia) | Primary |
Entity Name | Southside Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
Entity Name | Minuteclinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | 316 Family Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861915647 PECOS PAC ID: 6709159437 Enrollment ID: O20170831002113 |
Mailing Address | Practice Location Address |
---|---|
Erin Ellison, 631 Grady Whitton Rd, Bremen, GA 30110-3573 Ph: (404) 697-9529 | Erin Ellison, 222 Gordon St, Bremen, GA 30110-1519 Ph: (770) 537-1234 |
Ashley Benitez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 Alabama Ave S, Bremen, GA 30110 Phone: 678-821-6400 Fax: 678-821-6401 | |
Lindsay Ballard Capps, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1234 Fax: 770-537-1237 | |
Stephanie Ann Melson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Creek View Rd, Bremen, GA 30110 Phone: 770-757-7399 | |
Whitney Brannon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1236 | |
Ashton Mcmanus Hughes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1009 Alabama Ave S, Bremen, GA 30110 Phone: 678-821-6400 | |
Ms. Carolyn Marie Davis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 Gordon St, Bremen, GA 30110 Phone: 334-885-0754 | |
Heidi Wilhelm Trehern, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1234 |