Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Frederick Ellison, MD

Individual provider Urology Physician · NPI 1265431092

Dr. Mark Frederick Ellison, MD is an Urology Physician in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2142 W Broad St Bldg 200 Ste 200
Athens, GA 30606-3506
Phone: (706) 612-9401
Fax: (706) 612-9410
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 026107 (GA)

Record details

NPI number1265431092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 6127, Athens, GA 30604-6127

Other providers in Athens