Mr. Justin Thomas Ellis, NP-BC, MSSM
Mr. Justin Thomas Ellis, NP-BC, MSSM is a Nurse Practitioner in Marietta, Georgia. Qualified in 2024, 2 years ago. Licensed in Georgia.
- Years since qualifying
- 2
- Licensed in
- GA
- In the registry since
- 2025
Practice location Address checks out
1809 Canton RdMarietta, GA 30066-6343
Phone: (678) 335-4865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 2024093910 (GA) |
|---|
Record details
| NPI number | 1336959865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP-BC , MSSM |
| Sole proprietor | No |
| NPI enumerated | January 8, 2025 |
| Last updated in NPPES | October 13, 2025 |
| Certification date | October 13, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Marietta
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Derek Austin Dubois, NP
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Trisha Duru, FNP
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Laura Dyal
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-
Constance Catina Eccles, NURSEPRACTITIONER
100 Piedmont Rd, Marietta, GA 30066-1911 · (770) 795-9844
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Natasha Ellis, NP
702 Canton Rd NE, Marietta, GA 30060-7271 · (770) 428-4486
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Etsegenet G. Endale, DNP
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Erin C Esfahani, NP
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Essential Mental and Healthcare Services LLC
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