ADRIENNE CHARLENE ELLIS MD NPI 1528187556

NPI Information

  • NPI: 1528187556
  • Provider Name: ADRIENNE CHARLENE ELLIS, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 WOODRUFF RD STE 201
    SIMPSONVILLE, SC
    ZIP 29681
  • Phone: (864) 849-3466

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NPI Details

Adrienne Charlene Ellis, MD is a gynecology obstetrics gynecology in Simpsonville, SC with 23 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Adrienne Charlene Ellis, MD NPI is 1528187556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

2801 WOODRUFF RD STE 201
SIMPSONVILLE, SC
ZIP 29681-807
Phone: (864) 849-3466
Fax: (864) 849-9166

The NPI 1528187556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology116730NORTH CAROLINANo
2207VG0400XObstetrics & GynecologyGynecology29737SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17953931OTHERSOUTH CAROLINAAETNA
25907404MEDICAIDNORTH CAROLINA
3AA18796162OTHERSOUTH CAROLINAMEDICARE PIN
4297379MEDICAIDSOUTH CAROLINA
5198716OTHERSOUTH CAROLINAMEDCOST
6P00921760OTHERSOUTH CAROLINARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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