Dorla Ellis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN254673 Issued in GA

Practice address

2270 Hickory Station Cir
Snellville, GA 30078-6193

Phone

(770) 309-4359

NPI assigned

Nov 13, 2025

Last updated

Nov 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115

  GA

  Medicare reassignment Care Compare group
• Ennoble HC DMV II LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1134002900

  GA

  Medicare reassignment
• Ennoble HC DMV III LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1922981695

  GA

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1265392195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 HICKORY STATION CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786193",
            "telephone_number": "770-309-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 HICKORY STATION CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786193",
            "telephone_number": "770-309-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DORLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elbon, MD
• Carrie Lynn Elder, LPC, ATR-BC
• Nahed Elgammal, M.D.
• Vanessa Elias, CRNA
• Corinne B Ellis, FNP-C
• Kayla Alicia Ellis, FNP-C
• Sammy Dale Ellis, DMD
• Taryn Ellis
• Teneise Ellis
• Jeffery Ellison

• Family Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.