DR. ELIZABETH MYRNA ELLIS PH.D.
NPI 1053478503
Psychologist - Clinical in Atlanta, GA

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
801 AMSTERDAM AVE NE, ATLANTA, GA 30306(770) 337-9446(770) 476-0377 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Elizabeth Myrna Ellis Ph.d. NPPES

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

DR. ELIZABETH MYRNA ELLIS PH.D. (NPI 1053478503) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (521) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1053478503
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELIZABETH MYRNA ELLISCredential: PH.D.
Location Address801 AMSTERDAM AVE NEAtlanta, GA 30306-3403
Mailing Address801 Amsterdam Ave NeAtlanta, GA 30306-3403 · (770) 337-9446 · Fax (770) 476-0377
Fax(770) 476-0377
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
NPI 1053478503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · 521
Definition

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 specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

801 AMSTERDAM AVE NE, Atlanta, GA 30306

Other Identifiers 1

Medicaid00196171BGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Elizabeth Myrna Ellis Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971584566
PECOS Enrollment IDI20040528000626
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Elizabeth Ellis's NPI number?

The NPI number for Elizabeth Ellis is 1053478503. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Elizabeth Ellis located?

Elizabeth Ellis practices at 801 Amsterdam Ave NE, Atlanta, GA 30306. The listed phone number is (770) 337-9446.

What is Elizabeth Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Ellis enrolled in Medicare?

Yes. Elizabeth Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Ellis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Elizabeth Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Ellis was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.