Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265431092 Individual Practitioner Male Practitioner

Dr. Mark Frederick Ellison , MD

Urology • Athens, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ellison, MD is a registered healthcare professional specializing in Urology in Athens, GA. Practice services are available at 2142 W BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2142 W Broad St
Building 200, Suite 200

Athens, GA 306063506

Telephone 7066129401
Fax 7066129410
Associated Practice Facility / Clinic
🏢 Gns,llc Facility NPI 1073530937

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Athens, GA (422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 026107

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000370994F (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Ivey Broxton , NP

Nurse Practitioner

NPI 1073700886

Nurse Practitioner

NPI 1073957783
NPI 1174628127

Doctor of Medicine (M.D.)

Kimberly Parker , NP

Nurse Practitioner

NPI 1215935036

Nurse Practitioner

NPI 1295140747

Doctor of Medicine (M.D.)

Meghan Lee , FNP-C

Nurse Practitioner - Family

NPI 1346794567

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2014

Registered at 2142 W BROAD ST, BUILDING 200, SUITE 200, ATHENS, GA 306063506 (Tel: 7066129401)

📍
Updated Business Mailing Address October 17, 2014

Registered at PO BOX 6127, ATHENS, GA 306046127 (Tel: 7066129401)

👤
Provider Name / Credentials Updated October 17, 2014

Recorded as MARK ELLISON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Urology (License #026107 in GA)

🟢
Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265431092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

Po Box 6127

Athens, GA 306046127

Phone: 7066129401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.