Individual provider · Type 1 NPI

Deandrea Ellis

Pediatrics Physician · Atlanta, GA

NPI number 1477057354 Active

Practice location

3655 Roswell Rd NE Ste 130A
Atlanta, GA 30342-4428

Fax (470) 472-7964

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X97622 (GA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1477057354

Deandrea Ellis's National Provider Identifier is 1477057354, issued on Mar 23, 2018. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 7, 2026.