Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619748258 Individual Practitioner Male Practitioner

Kelvin Ellis

Driver • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Kelvin Ellis is a registered healthcare professional specializing in Driver in Atlanta, GA. Practice services are available at 285 W WIEUCA RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

285 W Wieuca Rd Ne

Atlanta, GA 303423321

Telephone 4707051500
Associated Practice Facility / Clinic
🏢 Coastal Medical Dermatology Facility NPI 1699553552

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Atlanta, GA (267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-11
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sandra Dareus

Medical Genetics, Ph.D. Medical Genetics

NPI 1093592552
Lesley Mitchell , LCSW

Social Worker - Clinical

NPI 1336307891

Licensed Clinical Social Worker

Dr. Kara Pepper , MD

Internal Medicine

NPI 1386829935

Doctor of Medicine (M.D.)

Johanna Jackson

Non-emergency Medical Transport (VAN)

NPI 1780437103

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2024

Registered at 285 W WIEUCA RD NE, ATLANTA, GA 303423321 (Tel: 4707051500)

📍
Updated Business Mailing Address January 11, 2024

Registered at 1030 DECLARATION CT, MCDONOUGH, GA 302537905 (Tel: 4705494523)

👤
Provider Name / Credentials Updated January 11, 2024

Recorded as KELVIN ELLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2024

Driver

🟢
Initial NPI Registration & Enumeration January 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619748258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2024
Last Update: January 11, 2024
Sole Proprietor: No

Mailing Address

1030 Declaration Ct

Mcdonough, GA 302537905

Phone: 4705494523

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.