Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NATASHA ELLIS NP
NPI 1083060578
Nurse Practitioner - Psychiatric/Mental Health in Marietta, GA

Q: What is Natasha Ellis's NPI number?

The NPI number for Natasha Ellis is 1083060578. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Q: What is Natasha Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Natasha Ellis was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since May 13, 2016PECOS Enrolled

702 CANTON RD NE, MARIETTA, GA 30060(770) 428-4486 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Feb 1, 2023, May 13, 2016 (3 updates tracked since 2016).

On this page

About Natasha Ellis Np NPPES

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

NATASHA ELLIS NP (NPI 1083060578) is an individual psychiatric/mental health provider in Marietta, Georgia, licensed in New York (406146) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083060578

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNATASHA ELLISCredential: NP

Location Address702 CANTON RD NEMarietta, GA 30060-7271

Mailing Address702 Canton Rd NeMarietta, GA 30060-7271 · (770) 428-4486

Phone(770) 428-4486

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 13, 2016

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1083060578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 406146

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN189933 (GA)

702 CANTON RD NE, Marietta, GA 30060

Open in Google Maps ↗

Secondary Practice Location 1

Location 180 5th Ave Ste 903-10New York, NY 10011-8002 · Phone (347) 707-7735 · Fax (347) 745-0992

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha Ellis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931682879

PECOS Enrollment IDI20260310001938

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 30060 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 6

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

DR. ANGELA BARGER ROBBINS M.D.

Specialist