MRS. MARY LINDA ELLIS L.P.C.
NPI 1003964131
Counselor - Professional in Buford, GA

Active since January 08, 2007Opted out of Medicare · through Jan 1, 2028
2070 BUFORD HWY, STE 2-D, BUFORD, GA 30518(770) 271-9442(770) 271-8939 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Linda Ellis L.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY LINDA ELLIS L.P.C. (NPI 1003964131) is an individual professional provider in Buford, Georgia, licensed in Georgia (003585) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1003964131
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARY LINDA ELLISCredential: L.P.C.
Location Address2070 BUFORD HWY, STE 2-DBuford, GA 30518-6079
Mailing Address6120 Mapperley LnCumming, GA 30041-6176
Fax(770) 271-8939
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003964131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · 003585
2070 BUFORD HWY, Buford, GA 30518

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Mary Linda Ellis L.p.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
2070 BUFORD HWY, SUITE 2D
BURFORD, GA 30518
Marriage & Family Therapist
2070 BUFORD HWY, STE 2D
BUFORD, GA 30518
Marriage & Family Therapist
2070 BUFORD HWY, STE 2D
BUFORD, GA 30518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellis's NPI number?

The NPI number for Mary Ellis is 1003964131. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Mary Ellis located?

Mary Ellis practices at 2070 Buford Hwy Ste 2-D, Buford, GA 30518. The listed phone number is (770) 271-9442.

What is Mary Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Ellis enrolled in Medicare?

No. Mary Ellis has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.