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

Dr. Kenneth Mark Ellner, MD

Individual provider Dermatology Physician · NPI 1447259577

Dr. Kenneth Mark Ellner, MD is a Dermatology in Roswell, Georgia. Graduated from Baylor College of Medicine in 1985, 41 years ago. Practices with Atlanta Center for Dermatologic Diseases PC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
41
Trained at
Baylor College of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1265 Uppr Hembree RD Ste 100
Roswell, GA 30076-1143
Phone: (770) 750-1133
Fax: (770) 751-7410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 032377 (GA)

Record details

NPI number1447259577
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESNovember 2, 2020
Certification dateOctober 30, 2020
Mailing address1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Atlanta Center For Dermatologic Diseases Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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