OrganizationActive
Robert G Ellison Jr MD P a
NPI 1699979203 · Specialist · Jacksonville, FL
Robert G Ellison Jr MD P a is a Specialist organization in Jacksonville, FL (NPI 1699979203).
Provider details
- NPI number
- 1699979203
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Robert Ellison, Owner(904) 388-7521
- License
- ME39556 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
836 Prudential Dr
Suite 1405
Jacksonville, FL 32207-8334
Phone: (904) 388-7521
Street-level locationGet directions
Mailing address
836 Prudential Dr
Jacksonville, FL 32207-8334
Other names (DBA / former)
- Doing business as
- Robert G Ellison Jr MD
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2007-08-10
Frequently asked questions
- What is Robert G Ellison Jr MD P a's NPI number?
- Robert G Ellison Jr MD P a's National Provider Identifier (NPI) is 1699979203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Robert G Ellison Jr MD P a?
- Robert G Ellison Jr MD P a is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Robert G Ellison Jr MD P a located?
- Robert G Ellison Jr MD P a's practice location on file with NPPES is 836 Prudential Dr, Jacksonville, FL 32207-8334.
- What is Robert G Ellison Jr MD P a's phone number?
- The practice phone number listed in the NPPES registry for Robert G Ellison Jr MD P a is (904) 388-7521.
- Who is the authorized official for Robert G Ellison Jr MD P a?
- The authorized official listed on Robert G Ellison Jr MD P a's NPPES record is Robert Ellison, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Robert G Ellison Jr MD P a's NPI active?
- Yes — Robert G Ellison Jr MD P a's NPI (1699979203) is active in the NPPES registry as of the last update on 2007-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.