Skip to content

Kimberly Lynn Ellis, CPNP-AC

NPI 1326981960ActiveIndividual· Surgery, Pediatric Surgery· Atlanta, GA

Surgery, Pediatric Surgery (CPNP-AC) in Atlanta, Georgia, licensed in GA, with an NPI issued in April 2026. Enrolled in Medicare as order and referring only - nurse practitioner.

Overview

NPI1326981960
StatusActive
Entity typeIndividual
CredentialCPNP-AC
Sole proprietorNo
NPI issuedApr 9, 2026
Last updated in NPPESApr 9, 2026
Certified by providerApr 9, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Pediatric Surgery Primary2086S0120XAPRN-NP315883GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Nurse Practitioner (GA)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Surgery, Pediatric Surgery providers in Atlanta

All 21 Surgery, Pediatric Surgery providers in Atlanta · All Surgery, Pediatric Surgery providers in Georgia