ERIN ELLISON
NPI 1669710786
Nurse Practitioner in Bremen, GA
About Erin Ellison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIN ELLISON (NPI 1669710786) is an individual nurse practitioner in Bremen, Georgia, licensed in Georgia (RN198477) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Emory University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
Erin Ellison 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.
Medicare Billing Reassignments
4Medicare enrollment records show Erin Ellison reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bremen, GA 30110
- Reassigned Medicare billing, Georgia enrollment
- 24 clinicians in this Medicare group
Dallas, GA 30132
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Atlanta, GA 30315
- Reassigned Medicare billing, Georgia enrollment
- 90 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 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.
Tanner Medical Center - Carrollton
Acute Care Hospitals · Carrollton, GATanner Medical Center Villa Rica
Acute Care Hospitals · Villa Rica, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Erin Ellison's NPI number?
The NPI number for Erin Ellison is 1669710786. It was assigned to this individual provider in the NPPES registry on January 24, 2013.
Where is Erin Ellison located?
Erin Ellison practices at 222 Gordon St, Bremen, GA 30110. The listed phone number is (770) 537-1234.
What is Erin Ellison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Erin Ellison enrolled in Medicare?
Yes. Erin Ellison 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 Erin Ellison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erin Ellison reassigns Medicare benefits to 4 organizations: 316 Family Medicine (Bremen, GA), Wellstar Medical Group, LLC (Dallas, GA), Southside Medical Center, Inc. (Atlanta, GA) and Minuteclinic LLC (Rockville, MD). 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 Erin Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erin Ellison accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Erin Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Erin Ellison affiliated with any hospitals?
According to CMS data, Erin Ellison is affiliated with Tanner Medical Center - Carrollton and Tanner Medical Center Villa Rica.
When was this NPI record last updated?
The NPPES record for Erin Ellison was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Erin Ellison · NPI 1669710786
Nurse Practitioner physician in Bremen, Georgia. Individual provider, active in the CMS NPPES registry since January 24, 2013.
## Identity
- **NPI:** 1669710786 (Entity type: Individual)
- **Enumerated:** January 24, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN198477 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 222 GORDON ST, Bremen, GA 30110-1519
- **Phone:** (770) 537-1234
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): 316 Family Medicine (NPI 1861915647, Bremen, GA); Wellstar Medical Group, LLC (NPI 1063790350, Dallas, GA); Southside Medical Center, Inc. (NPI 1235123993, Atlanta, GA); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** March 26, 2025
- **Other identifiers:** Other 1861915647 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669710786) · Data from the CMS NPPES public registry.