P Praxis·MD
● Active Type 1 · Individual

DR. Gregory Taylor Ellison JR., M.D.

Surgery·Savannah, GA· NPI 1528326667 · Enumerated 2012 · 14 years on NPI
Ellison is 1 of 14 surgery providers in Savannah and 1 of 268 in Georgia.
NPI age
14 years
Enumerated 2012-04-26
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
4750 Waters Ave Ste 500
Savannah, GA 314046261
📞 9123548346
Mailing address
4750 Waters Ave Ste 500
Savannah, GA 314046261
📞 9123548346

Additional practice locations

1 secondary location on file with NPPES.

Location 2
111 Persimmons St
Bluffton, SC 299104779
📞 9123528346fax 9123555515

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #078538SC license #51428 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (SC) GA2141
05 (GA) 003193042A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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