NPI age
8 years
Enumerated 2018-02-19
● Active
Type 1 · Individual
Ellion Profitt
Profitt is 1 of 8 specialist providers in Stone Mountain and 1 of 250 in Georgia.
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-02-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 250 active specialist providers in Georgia.
NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Practice location
5479 Memorial Dr Ste 2
Stone Mountain, GA 300833247
Mailing address
3738 Waldrop Creek Ct
Decatur, GA 300346723
Specialties
-
Specialist PrimaryA case manager who provides services for patients with prosthetics.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CO101834 | SECRETARY OF STATE |
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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- 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.