P Praxis·MD
● Active Type 1 · Individual

Mireille F Ellis, PA

Dietitian, Registered·Alpharetta, GA· NPI 1154442200 · Enumerated 2007 · 19 years on NPI
Ellis is 1 of 36 dietitian, registered providers in Alpharetta and 1 of 1653 in Georgia.
NPI age
19 years
Enumerated 2007-04-03
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1653 active dietitian, registered providers in Georgia.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
2650 Holcomb Bridge Rd Ste 510
Alpharetta, GA 300225374
📞 4042554080
Mailing address
5835 Lenox Park Pl
Buford, GA 305187690
📞 6026844682

Specialties

  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    GA license #001471 taxonomy 133V00000X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #6652 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new dietitian, registered providers have been added in Alpharetta in the last 180 days. See all →
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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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