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AVERY LOUISE ELLOWAY PA-C
NPI 1194495176
Physician Assistant - Medical in Conyers, GA

Active since September 20, 2021PECOS Enrolled
2750 OWENS RD SW, CONYERS, GA 30094(678) 413-4644 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Aug 13, 2024, Sep 20, 2021 (3 updates tracked since 2021).

About Avery Louise Elloway Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY LOUISE ELLOWAY PA-C (NPI 1194495176) is an individual medical provider in Conyers, Georgia, licensed in Georgia (11573) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194495176
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAVERY LOUISE ELLOWAYCredential: PA-C
Location Address2750 OWENS RD SWConyers, GA 30094-3991
Mailing Address2750 Owens Rd SwConyers, GA 30094-3991 · (678) 413-4644 · Fax (470) 705-0074
Phone(678) 413-4644
Sole ProprietorYes
Enumeration DateSeptember 20, 2021
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1194495176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 11573
2750 OWENS RD SW, Conyers, GA 30094
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Louise Elloway Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE H GORDON M.D.
Obstetrics & Gynecology (Gynecology)
2750 OWENS RD SW, SUITE A
CONYERS, GA 30094
Rockdale County (678) 413-4644
MEGAN M WANDURRAGA N.P.
Nurse Practitioner
2750 OWENS RD SW, STE A
CONYERS, GA 30094
Rockdale County (678) 413-4644
THE WOMENS CENTER PC
Obstetrics & Gynecology (Gynecology)
2750 OWENS RD SW, SUITE A
CONYERS, GA 30094
Rockdale County (678) 413-4644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Elloway's NPI number?

The NPI number for Avery Elloway is 1194495176. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Avery Elloway located?

Avery Elloway practices at 2750 Owens Rd SW, Conyers, GA 30094. The listed phone number is (678) 413-4644.

What is Avery Elloway's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Avery Elloway enrolled in Medicare?

Yes. Avery Elloway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avery Elloway was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.