DR. KENNA HEALY ELLIS (MD) – Emergency Medicine Physician, NPI 1316265390

DR. KENNA HEALY ELLIS (MD) is a healthcare provider. based in Decatur, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 70151 (GA). The NPI Number for DR. KENNA HEALY ELLIS (MD) is 1316265390

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNA HEALY ELLIS (MD)
NPI
1316265390
Phone
(404) 501-2560
Address
2701 N Decatur Rd
Enumeration Date
14 May 2010
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
4046052800
Graduation Year
2010 (16 years ago)
PAC ID
4789844184
Group Practice PAC ID
1759543176
Professional Enrollment ID
I20130828000490
Address ID
GA303091281AT1968XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. KENNA HEALY ELLIS (MD)

  • 2701 N Decatur Rd

    Decatur, GA 300335918

    Phone: (404) 501-2560

    Type: Location

  • 2701 N DECATUR RD

    DECATUR, GA 300335918

    Phone: (404) 501-2560

    Type: Mailing

  • 1968 PEACHTREE RD NW

    ATLANTA, GA 303091281

    Phone: (404) 605-2800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-02-16 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130828000490IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making4848$0
99284Emergency department visit with moderate level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 30033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759543176View full group profile
NameSpecialtyState
Emergency MedicineGA
Physician AssistantGA
Emergency MedicineGA
Emergency MedicinePA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicinePA
Emergency MedicineGA
Emergency MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for DR. KENNA HEALY ELLIS (MD)?
Save NPI 1316265390 if you need a stable reference for DR. KENNA HEALY ELLIS (MD).
Is DR. KENNA HEALY ELLIS (MD)'s NPI currently valid?
The extract we use shows DR. KENNA HEALY ELLIS (MD) as active.
Can you summarize DR. KENNA HEALY ELLIS (MD)'s specialty in plain language?
Clinically, the directory lists DR. KENNA HEALY ELLIS (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KENNA HEALY ELLIS (MD)?
The snapshot lists Decatur, Georgia for DR. KENNA HEALY ELLIS (MD); download NPPES for the complete set.
Is DR. KENNA HEALY ELLIS (MD) a real provider?
This page reflects official NPPES data for NPI 1316265390. Always confirm identity and privileges with the practice and licensing boards.

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