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

Gregory Taylor Ellison

Individual provider Surgery Physician · NPI 1780678516

Gregory Taylor Ellison is a Surgery Physician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005

Practice location Address checks out

1430 Harper St Bldg B
Augusta, GA 30901-0617
Phone: (706) 724-5451
Fax: (706) 724-9562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 024806 (GA)

Record details

NPI number1780678516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESOctober 21, 2016
Mailing address1430 Harper St, Building B, Augusta, GA 30901-0617

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