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DR. INGRID A ELLISON M.D.
NPI 1205903556
Technician/Technologist - Ophthalmic in Hiram, GA

Active since November 30, 2006PECOS Enrolled
4795 JIMMY LEE SMITH PKWY, SUITE 101, HIRAM, GA 30141(770) 222-6362(866) 528-7115 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ingrid A Ellison M.d. NPPES

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

DR. INGRID A ELLISON M.D. (NPI 1205903556) is an individual ophthalmic provider in Hiram, Georgia, licensed in Georgia (45207) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205903556
Entity TypeIndividualFemale
Primary Taxonomy156FX1100X
Provider Legal NameDR. INGRID A ELLISONCredential: M.D.
Location Address4795 JIMMY LEE SMITH PKWY, SUITE 101Hiram, GA 30141-2792
Mailing Address4795 Jimmy Lee Smith Pkwy, Suite 101Hiram, GA 30141-2792 · (770) 222-6362 · Fax (866) 528-7115
Phone(770) 222-6362
Fax(866) 528-7115
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateFebruary 8, 2013
✔ NPI 1205903556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OphthalmicEye and Vision Services Providers
Taxonomy Code156FX1100X
License✔ Licensed in GA · 45207
Definition
An ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses.
Also ListedOptometristTaxonomy 152W00000X · License 45207 (GA)
4795 JIMMY LEE SMITH PKWY, Hiram, GA 30141
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Other Identifiers 1

Medicare UPINHO3376GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ingrid A Ellison M.d. 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 2

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

HIRAM VISION CENTER, INC.
Optometrist
4795 JIMMY LEE SMITH PKWY, BLDG 100 SUITE 100
HIRAM, GA 30141
Paulding County (770) 222-6362
MYEYEDR. OPTOMETRY OF GEORGIA, LLC
Optometrist
4795 JIMMY LEE SMITH PKWY, SUITE 101
HIRAM, GA 30141
Paulding County (770) 222-6362

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 Ingrid Ellison's NPI number?

The NPI number for Ingrid Ellison is 1205903556. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Ingrid Ellison located?

Ingrid Ellison practices at 4795 Jimmy Lee Smith Pkwy Suite 101, Hiram, GA 30141. The listed phone number is (770) 222-6362.

What is Ingrid Ellison's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ophthalmic, with taxonomy code 156FX1100X.

Is Ingrid Ellison enrolled in Medicare?

Yes. Ingrid Ellison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ingrid Ellison was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.