ERIN ELLISON – Nurse Practitioner, NPI 1669710786

ERIN ELLISON is a healthcare provider. based in Bremen, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN198477 (GA). The NPI Number for ERIN ELLISON is 1669710786

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ERIN ELLISON
NPI
1669710786
Phone
(404) 697-9529
Address
631 GRADY WHITTON RD
Enumeration Date
24 January 2013
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7705371234
Graduation Year
2012 (14 years ago)
PAC ID
9335385921
Group Practice PAC ID
6709159437
Professional Enrollment ID
I20130426000652
Address ID
GA301101519BR222XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ERIN ELLISON

  • 631 GRADY WHITTON RD

    BREMEN, GA 301103573

    Phone: (404) 697-9529

    Type: Mailing

  • 222 GORDON ST

    BREMEN, GA 301101519

    Phone: (770) 537-1234

    Type: Location

  • 736 W BANKHEAD HWY

    VILLA RICA, GA 301801501

    Phone: (770) 459-8234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $1,385.

Total Amount is formed as General ($1,385) + Research ($0) + Ownership ($0) = $1,385.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($219).

Total Amount

$1,385

General + Research + Ownership

Payments

86

Total payment records

General Amount

$1,385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2013-04-26

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
I20130426000652INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30110)

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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: 6709159437View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeGA

Reviews

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Frequently asked questions

What unique ID ties claims to ERIN ELLISON?
NPI 1669710786 is assigned to ERIN ELLISON under the national enumeration system.
Is ERIN ELLISON active in the national directory?
ERIN ELLISON's public NPI profile is in an active state.
Does ERIN ELLISON list a primary specialty?
If you are matching referrals, note Nurse Practitioner for ERIN ELLISON. Clinical services aligned with this taxonomy classification.
What location metadata exists for ERIN ELLISON?
The page summarizes Bremen, Georgia for ERIN ELLISON; expand the address list for detail.
What if Bremen, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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