P Praxis·MD
● Active Type 1 · Individual

MRS. Kyndra Lenee Ellis, RN, NNP

Nurse Practitioner·Stockbridge, GA· NPI 1043477078 · Enumerated 2008 · 18 years on NPI
Ellis is 1 of 3 nurse practitioner providers in Stockbridge and 1 of 123 in Georgia.
NPI age
18 years
Enumerated 2008-05-19
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-10-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 123 active nurse practitioner providers in Georgia.

NPI age
18 years
↑ 7 yr above median (11 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
443 Gresham Dr
Stockbridge, GA 302817716
📞 6787561465fax 6787561465
Mailing address
443 Gresham Dr
Stockbridge, GA 302817716
📞 6787561465fax 6787561465

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN154735 taxonomy 363LN0000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #154735 taxonomy 163W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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