CORINNE B ELLIS FNP-C
NPI 1629882428
Nurse Practitioner - Family in Snellville, GA

Active since February 03, 2025PECOS EnrolledAccepts Medicare Assignment
939 LUKE ST, SNELLVILLE, GA 30039(770) 369-0621 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, Mar 1, 2025, Feb 3, 2025 (3 updates tracked since 2025).

About Corinne B Ellis Fnp-c NPPES

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

CORINNE B ELLIS FNP-C (NPI 1629882428) is an individual family provider in Snellville, Georgia, licensed in Georgia (RN324250) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629882428
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCORINNE B ELLISCredential: FNP-C
Location Address939 LUKE STSnellville, GA 30039-5775
Mailing Address939 Luke StSnellville, GA 30039-5775 · (770) 369-0621
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 3, 2025
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1629882428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN324250
939 LUKE ST, Snellville, GA 30039

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corinne B Ellis Fnp-c 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 ID7719460070
PECOS Enrollment IDI20260313004174
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Corinne Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
2075 HAMILTON CREEK PKWY STE 200
Dacula, GA 30019
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
Pulmonary Disease
30 SATELLITE DR, SUITE 200
Winder, GA 30680
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
Primary Care
1102 PINK GOSS RD
Woodstock, GA 30188
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30039 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

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

Nurse Practitioner (Family)
939 LUKE ST
SNELLVILLE, GA 30039

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 Corinne Ellis's NPI number?

The NPI number for Corinne Ellis is 1629882428. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Corinne Ellis located?

Corinne Ellis practices at 939 Luke St, Snellville, GA 30039. The listed phone number is (770) 369-0621.

What is Corinne Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Corinne Ellis enrolled in Medicare?

Yes. Corinne 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.

Which organizations bill Medicare for Corinne Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corinne Ellis reassigns Medicare benefits to 3 organizations: Pulmonary And Sleep Specialists Of Piedmont Northeast (Dacula, GA), Pulmonary And Sleep Specialists Of Northeast Georgia, PC (Winder, GA) and Truwell Healthcare Group Inc (Woodstock, GA). Each 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 Corinne Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Corinne Ellis affiliated with any hospitals?

According to CMS data, Corinne Ellis is affiliated with Piedmont Walton Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Corinne Ellis was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.