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MICHAEL ELLSWORTH PAA
NPI 1497705545
Anesthesiologist Assistant in Atlanta, GA

Active since May 11, 2006
1001 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 785-2008(404) 785-4496 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About Michael Ellsworth Paa NPPES

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

MICHAEL ELLSWORTH PAA (NPI 1497705545) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (3720) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1497705545
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMICHAEL ELLSWORTHCredential: PAA
Location Address1001 JOHNSON FY RD NEAtlanta, GA 30342-1605
Mailing Address1001 Johnson Fy Rd NeAtlanta, GA 30342-1605 · (404) 785-2008 · Fax (404) 785-4496
Phone(404) 785-2008
Fax(404) 785-4496
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1497705545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 3720
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1001 JOHNSON FY RD NE, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Ellsworth Paa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Michael Ellsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Anesthesia Services, LLC
5.3 mi
Pediatric Anesthesiology
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group
NPI 1437203098 (404) 785-6000

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 20

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

ANDREA CENTER CPNP
Nurse Practitioner (Pediatrics, Critical Care)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-5437
JIAQI TRACY LI PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
KATE DANIELS
Health Educator
1001 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Fulton County (404) 785-2157
JONATHAN WERNER PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
ANDREA KAYLYNE TAYLOR
Registered Nurse
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (706) 851-7597
ALEXIS BYRNE CARTER MD
Pathology (Anatomic Pathology & Clinical Pathology)
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2069
MARK DOOLEY PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008
LAMA FERNANDEZ PAA
Anesthesiologist Assistant
1001 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 785-2008

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 Michael Ellsworth's NPI number?

The NPI number for Michael Ellsworth is 1497705545. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Michael Ellsworth located?

Michael Ellsworth practices at 1001 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 785-2008.

What is Michael Ellsworth's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Michael Ellsworth enrolled in Medicare?

Yes. Michael Ellsworth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Ellsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ellsworth reassigns Medicare benefits to Children's Anesthesia Services, LLC (Brookhaven, 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 Michael Ellsworth'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 Michael Ellsworth was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.