P Praxis·MD
● Active Type 1 · Individual

Leslie Elaine Ellis, PHD

Psychologist·Dalton, GA· NPI 1730346792 · Enumerated 2008 · 18 years on NPI
Ellis is 1 of 6 psychologist providers in Dalton and 1 of 1487 in Georgia.
NPI age
18 years
Enumerated 2008-05-19
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1487 active psychologist providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
2005 Eagle Point Dr
Dalton, GA 307204941
📞 7273658577
Mailing address
2005 Eagle Point Dr
Dalton, GA 307204941
📞 7273658577

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    GA license #GA3273 taxonomy 103TC0700X

Identifiers

TypeValueNotes
01 (FL) Z130Q BCBSF
05 (GA) 497958107C

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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