DR. MARK FREDERICK ELLISON (M.D.) – Urology Physician, NPI 1265431092

DR. MARK FREDERICK ELLISON (M.D.) is a healthcare provider. based in Athens, Georgia. specializing in Urology Physician. They hold the professional credentials M.D.. They hold a License No. 026107 (GA). The NPI Number for DR. MARK FREDERICK ELLISON (M.D.) is 1265431092

Main info

Male
Name
DR. MARK FREDERICK ELLISON (M.D.)
NPI
1265431092
Phone
(706) 612-9401
Address
PO BOX 6127
Enumeration Date
14 July 2005
Last Update Date
7 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK FREDERICK ELLISON (M.D.)

  • Box, 4, Κωλέττη, Exarcheia, Athens, Municipality of Athens, Regional Unit of Central Athens, Attica, 106 81, Greece

    ATHENS, GA 306046127

    Phone: (706) 612-9401

    Fax: (706) 612-9410

    Type: Mailing

  • 2142, West Broad Street, Broadacres Homes, Athens, Athens-Clarke County, Georgia, 30606, United States

    BUILDING 200, SUITE 200

    ATHENS, GA 306063506

    Phone: (706) 612-9401

    Fax: (706) 612-9410

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30604)

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Reviews

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Frequently asked questions

What federal number belongs to DR. MARK FREDERICK ELLISON (M.D.)?
The federal identifier for DR. MARK FREDERICK ELLISON (M.D.) is NPI 1265431092.
Does this profile mean DR. MARK FREDERICK ELLISON (M.D.) is currently active?
Yes — DR. MARK FREDERICK ELLISON (M.D.) appears active in the national provider directory.
What kind of provider is DR. MARK FREDERICK ELLISON (M.D.)?
The page reflects Urology Physician for DR. MARK FREDERICK ELLISON (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. MARK FREDERICK ELLISON (M.D.)'s primary listing?
We display Athens, Georgia because that is what the record indicates for DR. MARK FREDERICK ELLISON (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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