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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: October 18, 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
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
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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gaston Family Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
3050 RIVERWOOD PKWY STE B
Gastonia, NC 28056
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1780370122 (704) 874-9005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (704) 874-9005
SONYA NANETTE BELIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (047) 874-9005
KRISTEN ROBERTS
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (704) 874-9005
MRS. JILL SECREAST DUFFY LCSW
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (704) 874-9005
LAOURATOU BOIRO LCMHCA
Counselor (Mental Health)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (704) 874-9005
CHAKUN TIFFANY MCDANIEL FNP-C
Nurse Practitioner
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (704) 874-9005
TIFFANY NICOLE FANSLER LCSWA
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (704) 874-9005
DANIELA FREDERICK LCSWA
Social Worker (Clinical)
3050 RIVERWOOD PKWY STE B
GASTONIA, NC 28056
Gaston County (704) 874-9005

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 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.

Where is Jeffrey Ellison located?

Jeffrey Ellison practices at 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056. The listed phone number is (704) 874-9005.

What is Jeffrey Ellison's specialty?

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

Is Jeffrey Ellison enrolled in Medicare?

Yes. Jeffrey Ellison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Ellison reassigns Medicare benefits to Gaston Family Health Services, Inc. (Gastonia, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Ellison accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jeffrey Ellison 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 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 4 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.