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

NPI Status: Active since November 30, 2006

Contact Information

4795 JIMMY LEE SMITH PKWY
SUITE 101
HIRAM, GA
ZIP 30141
Phone: (770) 222-6362
Fax: (866) 528-7115

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  • Individual
  • Female
  • Technician/Technologist
  • Ophthalmic
  • PECOS Enrolled

About INGRID ELLISON

This page provides the complete NPI Profile along with additional information for Ingrid Ellison, a provider established in Hiram, Georgia with a medical specialization in Technician/technologist, focusing in ophthalmic . The healthcare provider is registered in the NPI registry with number 1205903556 assigned on November 2006. The practitioner's primary taxonomy code is 156FX1100X with license number 45207 (GA). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1205903556
Provider Name
DR. INGRID A ELLISON M.D.
Gender
Female
Entity Type
Individual
Location Address
4795 JIMMY LEE SMITH PKWY SUITE 101 HIRAM, GA 30141
Location Phone
(770) 222-6362
Location Fax
(866) 528-7115
Mailing Address
4795 JIMMY LEE SMITH PKWY SUITE 101 HIRAM, GA 30141
Mailing Phone
(770) 222-6362
Mailing Fax
(866) 528-7115
Is Sole Proprietor?
Yes
Enumeration Date
11-30-2006
Last Update Date
02-08-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician/Technologist Ophthalmic

Taxonomy Code
156FX1100X
Type
Eye and Vision Services Providers
License No.
45207
License State
GA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

45207 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HO3376MEDICARE UPIN (02)GA 

Medicare Participation & PECOS Enrollment Status

Ingrid Ellison is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

New patient complete exam of visual system

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

This service was performed 23 times for 23 patients

Reviews for DR. INGRID A ELLISON M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205903556, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 8 + 0 + 6 + 5 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1205903556.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
4795 JIMMY LEE SMITH PKWY, BLDG 100 SUITE 100
HIRAM, GA 30141
Optometrist
4795 JIMMY LEE SMITH PKWY, SUITE 101
HIRAM, GA 30141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205903556, enumerated as an "individual" on November 30, 2006.

The provider is located at 4795 JIMMY LEE SMITH PKWY SUITE 101 HIRAM, GA 30141 and the phone number is (770) 222-6362.

Technician/Technologist with taxonomy code 156FX1100X and a focus in Ophthalmic.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.