DR. ELLEN N EMERSON PH.D
NPI 1225133838
Psychologist - Clinical in Statesboro, GA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
112 N COLLEGE ST, STATESBORO, GA 30458(912) 687-5194(912) 681-0834 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ellen N Emerson Ph.d NPPES

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

DR. ELLEN N EMERSON PH.D (NPI 1225133838) is an individual clinical provider in Statesboro, Georgia, licensed in Georgia (PSY002041) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1225133838
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELLEN N EMERSONCredential: PH.D
Location Address112 N COLLEGE STStatesboro, GA 30458-5309
Mailing Address112n College StStatesboro, GA 30458-5309 · (912) 764-3595 · Fax (912) 764-3595
Fax(912) 681-0834
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1225133838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY002041
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFT 0374 (NV)
112 N COLLEGE ST, Statesboro, GA 30458

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ellen N Emerson Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719985027
PECOS Enrollment IDI20061121000441
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Psychologist (Clinical)
112 N COLLEGE ST
STATESBORO, GA 30458
Psychologist (Counseling)
112 N COLLEGE ST
STATESBORO, GA 30458
Counselor (Professional)
112 N COLLEGE ST
STATESBORO, GA 30458
Psychologist (Clinical)
112 N COLLEGE ST
STATESBORO, GA 30458
Social Worker (Clinical)
112 N COLLEGE ST
STATESBORO, GA 30458
Psychologist
112 N COLLEGE ST
STATESBORO, GA 30458

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 Ellen Emerson's NPI number?

The NPI number for Ellen Emerson is 1225133838. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Ellen Emerson located?

Ellen Emerson practices at 112 N College St, Statesboro, GA 30458. The listed phone number is (912) 687-5194.

What is Ellen Emerson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ellen Emerson enrolled in Medicare?

Yes. Ellen Emerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellen Emerson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Ellen Emerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Emerson was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.