Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deandrea Ellis

Individual provider Pediatrics Physician · NPI 1477057354

Deandrea Ellis is a Pediatrics Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

3655 Roswell Rd NE Ste 130A
Atlanta, GA 30342-4428
Phone: (470) 472-1965
Fax: (470) 472-7964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 97622 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477057354
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address3655 Roswell Rd Ne Ste 130a, Atlanta, GA 30342-4428

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