Terry R. Ellis, DMD, PC
NPI 1558795930ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Augusta, GA
Dentist, Oral and Maxillofacial Surgery in Augusta, Georgia, registered in NPPES in August 2013. The authorized official on file is Terry R. Ellis, DMD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558795930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2013 |
| Last updated in NPPES | Aug 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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