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

Mrs. Taylor Ellsworth, PA

Individual provider Physician Assistant · NPI 1700509809

Mrs. Taylor Ellsworth, PA is a Physician Assistant in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2023, 3 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2022
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

1462 Clifton Rd NE Ste 280
Atlanta, GA 30322-1063
Phone: (404) 727-7825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12152 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700509809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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