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SUZANNE IVIE ELLIS
NPI 1194565978
Speech-Language Pathologist in Smyrna, GA

Active since May 29, 2024Accepts Medicare Assignment
4005 S COBB DR SE, SMYRNA, GA 30080(770) 431-7055 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suzanne Ivie Ellis NPPES

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

SUZANNE IVIE ELLIS (NPI 1194565978) is an individual speech-language pathologist provider in Smyrna, Georgia and active in the NPI registry since May 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1194565978
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSUZANNE IVIE ELLIS
Location Address4005 S COBB DR SESmyrna, GA 30080-6307
Mailing Address4005 S Cobb Dr SeSmyrna, GA 30080-6307
Phone(770) 431-7055
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1194565978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4005 S COBB DR SE, Smyrna, GA 30080
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Suzanne Ivie Ellis 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 ID4981192648
PECOS Enrollment IDI20251023003404

Other Providers at the Same Location NPPES 5

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

CAMERON CLEMONS
Occupational Therapy Assistant
4005 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 431-7955
SARAH RICCI
Occupational Therapist
4005 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 431-7005
DACIA MILAN COTA
Occupational Therapy Assistant
4005 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 431-7055
MICHELLE A COLEMAN PT
Physical Therapist
4005 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 431-7055
MARK CANDLER DOYAL CCC-SLP
Speech-Language Pathologist
4005 S COBB DR SE
SMYRNA, GA 30080
Cobb County (513) 545-6412

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 Suzanne Ellis's NPI number?

The NPI number for Suzanne Ellis is 1194565978. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Suzanne Ellis located?

Suzanne Ellis practices at 4005 S Cobb Dr SE, Smyrna, GA 30080. The listed phone number is (770) 431-7055.

What is Suzanne Ellis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Suzanne Ellis enrolled in Medicare?

Yes. Suzanne 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.

When was this NPI record last updated?

The NPPES record for Suzanne Ellis was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.