P Praxis·MD
● Active Type 1 · Individual

Deandrea Ellis

Pediatrics·Atlanta, GA· NPI 1477057354 · Enumerated 2018 · 8 years on NPI
Ellis is 1 of 551 pediatrics providers in Atlanta and 1 of 2726 in Georgia.
NPI age
8 years
Enumerated 2018-03-23
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
8 years
↓ 10 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Practice location
3655 Roswell Rd Ne Ste 130a
Atlanta, GA 303424428
📞 4704721965fax 4704727964
Mailing address
3655 Roswell Rd Ne Ste 130a
Atlanta, GA 303424428
📞 4704721965fax 4204721964

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #97622 taxonomy 208000000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new pediatrics providers have been added in Atlanta in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 2726 Pediatrics 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

  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.

Related