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Deactivated NPI 1528173036 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Wesley Ellison , MD

Pediatrics • Columbus, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Ellison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2006
NPI Deactivation Date June 26, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Ellison, MD was a registered Pediatrics practicing in Columbus, GA. Throughout an active medical career spanning 18 years, Dr. Ellison provided care at the practice location at 2416 CAPSTONE CT until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

2416 Capstone Ct

Columbus, GA 319092795

Telephone 7063271281
Fax 7063271159
Associated Practice Facility / Clinic
🏢 Rivertown Pediatrics, P.c. Facility NPI 1346336203

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Columbus, GA (2326 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 027544

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

22 Associated Practitioners
NPI 1043306194

Doctor of Medicine (M.D.)

NPI 1073756169

Doctor of Medicine (M.D.)

Kelly Peledge , NP

Nurse Practitioner

NPI 1134608094

Nurse Practitioner

NPI 1174937924

Doctor of Medicine (M.D.)

Ashley Robinson , FNP

Nurse Practitioner

NPI 1184176331

Family Nurse Practitioner

Lauren Hamsley , PA

Physician Assistant

NPI 1205163243

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

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Updated Business Mailing Address March 20, 2020

Registered at 2416 CAPSTONE CT, COLUMBUS, GA 319092795 (Tel: 7063271281)

NPI Profile Active September 27, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 27, 2011

Registered at 2416 CAPSTONE CT, COLUMBUS, GA 319092795 (Tel: 7063271281)

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Updated Business Mailing Address September 27, 2011

Registered at 49 SWEETWATER CT, CATAULA, GA 318044462 (Tel: 7063271932)

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Provider Name / Credentials Updated September 27, 2011

Recorded as THOMAS ELLISON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2011

Pediatrics (License #027544 in GA)

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Initial NPI Registration & Enumeration August 21, 2006

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: 1528173036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: September 27, 2011
Deactivation Date: June 26, 2024

Mailing Address

49 Sweetwater Ct

Cataula, GA 318044462

Phone: 7063271932

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.