Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERRY RANDAL ELLIS DMD
NPI 1255307831
Dentist - Oral and Maxillofacial Surgery in Augusta, GA

Q: What is Terry Ellis's NPI number?

The NPI number for Terry Ellis is 1255307831. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is Terry Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Terry Ellis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since February 24, 2006PECOS Enrolled

1244 AUGUSTA WEST PARKWAY, AUGUSTA, GA 30909(706) 855-7220(706) 855-7260 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Terry Randal Ellis Dmd NPPES

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

TERRY RANDAL ELLIS DMD (NPI 1255307831) is an individual oral and maxillofacial surgery provider in Augusta, Georgia, licensed in Georgia (DN011393) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255307831

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameTERRY RANDAL ELLISCredential: DMD

Location Address1244 AUGUSTA WEST PARKWAYAugusta, GA 30909

Mailing Address1244 Augusta West ParkwayAugusta, GA 30909 · (706) 855-7220 · Fax (706) 855-7260

Phone(706) 855-7220

Fax(706) 855-7260

Sole ProprietorNo

Enumeration DateFebruary 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1255307831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in GA · DN011393✔ Licensed in MS · 254190

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1244 AUGUSTA WEST PARKWAY, Augusta, GA 30909

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terry Randal Ellis Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Terry Ellis's NPI number?

The NPI number for Terry Ellis is 1255307831. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Terry Ellis located?

Terry Ellis practices at 1244 Augusta West Parkway, Augusta, GA 30909. The listed phone number is (706) 855-7220.

What is Terry Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Terry Ellis enrolled in Medicare?

Yes. Terry Ellis is registered in the Medicare PECOS enrollment system.

What insurance does Terry Ellis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Terry Ellis 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 Terry Ellis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.