ADRIENNE CHARLENE ELLIS (NPI# 1528187556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528187556 |
| Entity Type | Individual |
| Full Name | ADRIENNE CHARLENE ELLIS |
| Credential | MD |
| Practice Address |
853 N Church St Suite 600 Spartanburg SC 29303-3098 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645834556 |
| Practice Fax Number | 8645600625 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 116730 | NC | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
29737 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE | P00921760 | 01 |
| SC | MEDICARE PIN | AA18796162 | 01 |
| SC | MEDCOST | 198716 | 01 |
| SC | 297379 | 05 | |
| NC | 5907404 | 05 | |
| SC | AETNA | 7953931 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518289685 | Adrienne Michele Ellis | Licensed Practical Nurse | 1130 Midland Ter, Durham, NC 27704-5140 | 2010-02-17 |
| 1104153345 | Adrienne Benita Ellis | Counselor | 7801 Old Branch Ave, Suite 212, Clinton, MD 20735-1608 | 2009-11-09 |
| Street Address |
853 N CHURCH ST SUITE 600 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334306 | Paul Anthony Lepage | Surgery | 853 N Church St, Suite 500, Spartanburg, SC 29303-3098 | 2005-05-23 |
| 1801449673 | Meghan Mace | Family Medicine | 853 N Church St, Spartanburg, SC 29303-3098 | 2019-07-22 |
| 1588216493 | Madeline Topitzes | Family Medicine | 853 N Church St, Suite 510, Spartanburg, SC 29303-3098 | 2019-07-10 |
| 1013402312 | James Spearman | Family Medicine | 853 N Church St, Spartanburg, SC 29303-3098 | 2018-06-28 |
| 1346780814 | Della Greer | Nurse Practitioner | 853 N Church St, Suite 700, Spartanburg, SC 29303-3098 | 2017-03-03 |
| 1588101448 | Kristy Johnson | Nurse Practitioner | 853 N Church St, Suite 620, Spartanburg, SC 29303-3098 | 2017-01-30 |
| 1912442591 | Erin Mcdermott | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1669917241 | Annie Littlejohn | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1801331483 | Cynthia Norris | Registered Nurse | 853 N Church St, Suite 720c, Spartanburg, SC 29303-3098 | 2017-01-05 |
| 1346795085 | Amanda Shugart James | Dietitian, Registered | 853 N Church St, Suite 410a, Spartanburg, SC 29303-3098 | 2016-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518074194 | Mary Black Health System, LLC | Obstetrics & Gynecology | 1686 Skylyn Dr Ste 101, Spartanburg, SC 29307-1058 | 2006-08-23 |
| 1679582712 | Mary Black Health System, LLC | Obstetrics & Gynecology | 2995 Reidville Rd Ste 290, Spartanburg, SC 29301-5667 | 2006-08-07 |
| 1669470357 | Obstetrics & Gynecological Associates, Pa | Obstetrics & Gynecology | 853 N Church St, Ste 400, Spartanburg, SC 29303-3098 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598230 | Elite Gynecology | Obstetrics & Gynecology | 163 Lake Murray Ter, Lexington, SC 29072-9103 | 2019-06-21 |
| 1295392132 | Venus Gynecology, LLC | Obstetrics & Gynecology | 8203 Nigels Dr Ste 203, Myrtle Beach, SC 29572-4179 | 2019-05-28 |
| 1801285036 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 8950 University Blvd, Suite 150, North Charleston, SC 29406 | 2015-01-12 |
| 1447656517 | Donald Richard Hanscom | Obstetrics & Gynecology | 20 Spring Island Dr, Okatie, SC 29909-4006 | 2014-11-17 |
| 1851633028 | Giles Martin Schanen I | Obstetrics & Gynecology | 205 Glen Abbey Way, Greer, SC 29650-3289 | 2013-03-26 |
| 1225373830 | Alan F Korhammer | Obstetrics & Gynecology | 24 Oak Island Rd, Saint Helena Island, SC 29920-3808 | 2012-12-07 |
| 1326316803 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 90 Summit Centre Dr, Columbia, SC 29229-6926 | 2011-12-12 |
| 1528290251 | Baptist Easley Hospital | Obstetrics & Gynecology | 112 John St Ste 103, Easley, SC 29640-1405 | 2009-08-13 |
| 1386880672 | Juliet Chhay Bishop | Obstetrics & Gynecology | 2 Medical Park Rd Ll9/10, Columbia, SC 29203-6839 | 2008-12-17 |
| 1073776118 | Eduardo Goquiolay Arellano | Obstetrics & Gynecology | 9 Bayley Rd, Bluffton, SC 29910-4928 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.