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KAMEELAH L. ELLIS NP
NPI 1306360060
Nurse Practitioner in Riverdale, GA

Active since August 02, 2017PECOS Enrolled
33 UPPER RIVERDALE RD SW STE 21, RIVERDALE, GA 30274(404) 314-8868 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kameelah L. Ellis Np NPPES

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

KAMEELAH L. ELLIS NP (NPI 1306360060) is an individual nurse practitioner in Riverdale, Georgia, licensed in Georgia (179861) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306360060
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAMEELAH L. ELLISCredential: NP
Location Address33 UPPER RIVERDALE RD SW STE 21Riverdale, GA 30274-2617
Mailing AddressPo Box 1631Mcdonough, GA 30253-1631 · (404) 314-8868
Phone(404) 314-8868
Sole ProprietorNo
Enumeration DateAugust 2, 2017
✔ NPI 1306360060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 179861
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
33 UPPER RIVERDALE RD SW STE 21, Riverdale, GA 30274
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 30274 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 2

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

LODESTAR OBSTETRICS AND GYNECOLOGY LTD
Obstetrics & Gynecology
33 UPPER RIVERDALE RD SW STE 21
RIVERDALE, GA 30274
Clayton County (770) 991-0041
CHUKWUDI CHRISTIAN NWAWKA MD
Obstetrics & Gynecology
33 UPPER RIVERDALE RD SW STE 21
RIVERDALE, GA 30274
Clayton County (470) 885-3096

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 Kameelah Ellis's NPI number?

The NPI number for Kameelah Ellis is 1306360060. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Kameelah Ellis located?

Kameelah Ellis practices at 33 Upper Riverdale Rd SW Ste 21, Riverdale, GA 30274. The listed phone number is (404) 314-8868.

What is Kameelah Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kameelah Ellis enrolled in Medicare?

Yes. Kameelah Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kameelah Ellis was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.