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

Q: What is Jeffrey Ellison's NPI number?

The NPI number for Jeffrey Ellison is 1649559873. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Q: What is Jeffrey Ellison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Ellison was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 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: August 16, 2026.

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

On this page

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.

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

Phone(704) 874-9005

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

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.

YASMEEN ZAKIYAH OJWANG MSW, LCSWA

Social Worker (Clinical)