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

Mrs. Latrese Ann Ellis, NP

Individual provider Family Medicine Physician · NPI 1861810749

Mrs. Latrese Ann Ellis, NP is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2013, 13 years ago. Practices with Piedmont Professional Services LLC, a 163-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3800 Princeton Lakes Pkwy SW
Atlanta, GA 30331-5580
Phone: (404) 948-3019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4857 Zone Ave Sw, Atlanta, GA 30331-7768 — (404) 710-7550
  • 5764 Peachtree Industrial Blvd # 4505, Chamblee, GA 30341-1908 — (770) 457-4401

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN165019 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN165019 (GA)

Record details

NPI number1861810749
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 28, 2014
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Piedmont Professional Services Llc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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