DR. MARC ALLEN ELLIS D.C.
NPI 1073671970
Chiropractor in Roswell, GA
About Dr. Marc Allen Ellis D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARC ALLEN ELLIS D.C. (NPI 1073671970) is an individual chiropractor in Roswell, Georgia, licensed in Georgia (CHIR007215) and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Marc Allen Ellis D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marc Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Marc Ellis's NPI number?
The NPI number for Marc Ellis is 1073671970. It was assigned to this individual provider in the NPPES registry on December 4, 2006.
Where is Marc Ellis located?
Marc Ellis practices at 903 Bombay Ln, Roswell, GA 30076. The listed phone number is (770) 664-4288.
What is Marc Ellis's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Marc Ellis enrolled in Medicare?
Yes. Marc Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marc Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Ellis reassigns Medicare benefits to Georgia Chiropractic Neurology Center LLC (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marc 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.
# Dr. Marc Allen Ellis, D.C. · NPI 1073671970
Chiropractor provider in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1073671970 (Entity type: Individual)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIR007215 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 903 BOMBAY LN, Roswell, GA 30076-5829
- **Phone:** (770) 664-4288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Georgia Chiropractic Neurology Center LLC (NPI 1114461852, Roswell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN 35ZCGZN (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073671970) · Data from the CMS NPPES public registry.