Mrs Kyndra Lenee Ellis, RN, NNP - Medicare Nurse Practitioner in Stockbridge, GA

Mrs Kyndra Lenee Ellis, RN, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Stockbridge, Georgia. Her current practice location is 443 Gresham Dr, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 756-1465.

Mrs Kyndra Lenee Ellis is licensed to practice in Georgia (license number RN154735) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043477078.

Contact Information

Mrs Kyndra Lenee Ellis, RN, NNP
443 Gresham Dr,
Stockbridge, GA 30281-7716
(678) 756-1465
(678) 756-1465



Provider's Profile

Full NameMrs Kyndra Lenee Ellis
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location443 Gresham Dr, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043477078
  • Provider Enumeration Date: 05/19/2008
  • Last Update Date: 10/31/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1254611551
  • Enrollment ID: I20161202000504

Medical Identifiers

Medical identifiers for Mrs Kyndra Lenee Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043477078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 154735 (Georgia)Secondary
363LN0000XNurse Practitioner - Neonatal RN154735 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kyndra Lenee Ellis allows following entities to bill medicare on her behalf.
Entity NameFloyd Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992814586
PECOS PAC ID: 6406852375
Enrollment ID: O20061017000279

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kyndra Lenee Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kyndra Lenee Ellis, RN, NNP
443 Gresham Dr,
Stockbridge, GA 30281-7716

Ph: (678) 756-1465
Mrs Kyndra Lenee Ellis, RN, NNP
443 Gresham Dr,
Stockbridge, GA 30281-7716

Ph: (678) 756-1465

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In a major step that could revolutionize biomedical research, scientists have discovered a way to keep normal cells as well as tumor cells taken from an individual cancer patient alive in the laboratory - which previously had not been possible. Normal cells usually die in the lab after dividing only a few times, and many common cancers will not grow, unaltered, outside of the body.

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Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281
Phone: 770-213-3366    Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 165 North Park Trail, Stockbridge, GA 30281
Phone: 770-506-1800    Fax: 770-389-5947
Jeanine Clark, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 831 Fairways Ct, Stockbridge, GA 30281
Phone: 239-443-8018    
Shanae Mapp, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 831 Fairways Ct, Stockbridge, GA 30281
Phone: 770-389-1925    
Sandra Thomas,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281
Phone: 770-668-3363    
Mrs. Amanda J Raynor, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281
Phone: 770-507-2212    Fax: 770-507-2213
Tricia Jarrell Morris, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 547 Winter View Way, Stockbridge, GA 30281
Phone: 678-272-0086    Fax: 678-489-6860

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