DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1548224983

NPI Code Detail

MEDICARE: DR. SEAN ALFRED ELLISON M.D.

MEDICARE: DR. SEAN ALFRED ELLISON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9501233	NC
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	9501233	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	12317	OTHER	NC	PARTNERS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60902	OTHER	NC	MEDCOST
2	5423138	OTHER	NC	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	30469	OTHER	NC	BCBS NC

General Provider Information

NPI Number	:	1548224983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN ALFRED ELLISON M.D.

Provider Business Mailing Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	336-832-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 E WENDOVER AVE STE 211
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1232
Country	:	US
Telephone Number	:	336-832-3088
Fax Number	:	336-832-3080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	08/18/2021

Similar Medicare Providers

1790989739 — EAGLE PHYSICIANS AND ASSOCIATES PA
Practice Location Address:

301 E WENDOVER AVE STE 200
GREENSBORO, NC
27401-1232

Practice Phone: 336-268-3395
Practice Fax: 336-272-7134

1447291661 — ALBERT KENNETH BARTKO MD
Practice Location Address:

301 E WENDOVER AVE STE 200
GREENSBORO, NC
27401-1232

Practice Phone: 336-274-3241
Practice Fax:

1144250820 — RUPASHREE VARADARAJAN M.D.
Practice Location Address:

301 E WENDOVER AVE STE 200
GREENSBORO, NC
27401-1232

Practice Phone: 336-274-3241
Practice Fax: 336-272-7134

1962426817 — DR. AJAY KUMAR MD
Practice Location Address:

301 E WENDOVER AVE STE 211
GREENSBORO, NC
27401-1232

Practice Phone: 336-832-3088
Practice Fax: 336-832-3080

1922177013 — JAMES C OSBORNE MD
Practice Location Address:

301 E WENDOVER AVE STE 200
GREENSBORO, NC
27401-1232

Practice Phone: 336-482-2309
Practice Fax: 336-268-3157

1720149578 — MRS. JENNIFER REEVES WILLARD PA-C
Practice Location Address:

301 E WENDOVER AVE STE 200
GREENSBORO, NC
27401-1232

Practice Phone: 336-482-2309
Practice Fax: 336-268-3157

Directions to “ DR. SEAN ALFRED ELLISON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.