JEFFREY HUGH ELLISON PHD
NPI 1649559873
Psychologist - Clinical in Gastonia, NC

Active since August 05, 2011PECOS Enrolled
3050 RIVERWOOD PKWY STE B, GASTONIA, NC 28056(704) 874-9005(704) 874-9001 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2025, Nov 4, 2025, Apr 4, 2025 and 2 more (5 updates tracked since 2015).

About Jeffrey Hugh Ellison Phd NPPES

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

JEFFREY HUGH ELLISON PHD (NPI 1649559873) is an individual clinical provider in Gastonia, North Carolina, licensed in North Carolina (4890) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Belmont.

NPPES Registry Identity

NPI1649559873
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJEFFREY HUGH ELLISONCredential: PHD
Location Address3050 RIVERWOOD PKWY STE BGastonia, NC 28056-6002
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1904 · Fax (704) 867-2134
Fax(704) 874-9001
Sole ProprietorNo
Enumeration DateAugust 5, 2011
Last NPPES UpdateJune 16, 20265 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1649559873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 4890
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.

3050 RIVERWOOD PKWY STE B, Gastonia, NC 28056

Secondary Practice Location 1

Location 134 Myrtle StBelmont, NC 28012-5200 · Phone (803) 620-4411

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 (PECOS)

Jeffrey Hugh Ellison Phd 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 28056 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

Community/Behavioral Health
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Counselor (Mental Health)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Clinic/Center (Federally Qualified Health Center (FQHC))
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Counselor (Mental Health)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649559873, enumerated as an "individual" on August 05, 2011.

The provider is located at 3050 RIVERWOOD PKWY STE B GASTONIA, NC 28056 and the phone number is (704) 874-9005.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.