NPI age
— years
Enumerated 2026-04-09
● Active
Type 1 · Individual
Kimberly Lynn Ellis, CPNP-AC
Ellis is 1 of 20 surgery providers in Atlanta and 1 of 36 in Georgia.
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 36 active surgery providers in Georgia.
NPI age
0 years
↓ 19 yr below median (19 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2026 → 2026
2026-04Enumerated in NPPES
2026
2026
Where they practice
Practice location
2220 N Druid Hills Rd Ne
Atlanta, GA 303293117
Mailing address
777 Memorial Dr Se Unit 1421
Atlanta, GA 303161789
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1001 Johnson Fy Rd Ne
Atlanta, GA 303421605
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Practice context
Part of a multi-provider practice. 185 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 36 Surgery providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.