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

Mireille F Ellis, PA

Individual provider Physician Assistant · NPI 1154442200

Mireille F Ellis, PA is a Physician Assistant in Alpharetta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2650 Holcomb Bridge Rd Ste 510
Alpharetta, GA 30022-5374
Phone: (404) 255-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 001471 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 6652 (GA)

Record details

NPI number1154442200
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

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