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DR. ANGELA BETH ELLERMAN OD
NPI 1730168485
Optometrist in Athens, GA

Active since January 11, 2006PECOS Enrolled
55 CARLTON ST, ATHENS, GA 30602(706) 542-5617(706) 227-4763 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Angela Beth Ellerman Od NPPES

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

DR. ANGELA BETH ELLERMAN OD (NPI 1730168485) is an individual optometrist in Athens, Georgia, licensed in Georgia (2022) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730168485
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANGELA BETH ELLERMANCredential: OD
Location Address55 CARLTON STAthens, GA 30602-1503
Mailing Address55 Carlton StAthens, GA 30602-1503 · (706) 542-5617 · Fax (706) 227-4763
Phone(706) 542-5617
Fax(706) 227-4763
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
✔ NPI 1730168485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · 2022
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
55 CARLTON ST, Athens, GA 30602
Open in Google Maps ↗

Other Identifiers 1

Medicaid465525028CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angela Beth Ellerman Od 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 Angela Ellerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Regents Of The University System Of Georgia
Same address
Point of Service
55 CARLTON ST
Athens, GA 30602
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1538311006 (706) 542-8638

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 30602 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

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.

DR. MARGARET HELEN PETERSON PT, DPT, ATC
Physical Therapist
55 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-1259
KAREN GUILKEY REYNOLDS MD
Family Medicine
55 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8265
DR. RON ELLIOTT MD
Family Medicine
55 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8621
DR. GARTH RUSSO MD
Family Medicine
55 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8621
DR. PAUL PETEET MD
Internal Medicine
55 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8621
DAVID CAMPBELL PHD
Psychologist
55 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8621
DR. SANDRINE M BOSSHARDT PH.D.
Psychologist
55 CARLTON ST
ATHENS, GA 30602
Clarke County (865) 804-0667
MR. LEONARD DAVEY DERAMUS P.A.-C
Physician Assistant
55 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8609

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 Angela Ellerman's NPI number?

The NPI number for Angela Ellerman is 1730168485. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Angela Ellerman located?

Angela Ellerman practices at 55 Carlton St, Athens, GA 30602. The listed phone number is (706) 542-5617.

What is Angela Ellerman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Angela Ellerman enrolled in Medicare?

Yes. Angela Ellerman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Ellerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Ellerman reassigns Medicare benefits to Board Of Regents Of The University System Of Georgia (Athens, GA). 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 Angela Ellerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Ellerman accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health and Anthem Blue Cross and Blue Shield list Angela Ellerman 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 Angela Ellerman was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.