Ellen Minick Medved, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN077255 Issued in GA

Practice address

1475 Holcomb Bridge Rd Ste 129
Roswell, GA 30076-2126

Phone

(678) 525-1962

NPI assigned

Sep 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Elizabeth Minick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ellen.medved.1@2435.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2435/brand/1/csg/1/fhir/r4

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

• Georgia Mountain Endocrinology Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Canton, GA
  • NPI 1508188558
  NPD

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1447085899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 ROSEDOWN PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HOLCOMB BRIDGE RD STE 129",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762126",
            "telephone_number": "678-525-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVED",
        "first_name": "ELLEN",
        "middle_name": "MINICK",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN077255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MINICK",
            "middle_name": "ELIZABETH",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Meccia, MS, RDN, LDN, CDE
• Russell Meccia, D.C.
• Medical Centers of Atlanta LLC
• Medical Testing Laboratories
• Medplus Healthcare Inc.
• Brittany Meeks, PHARM.D.
• Rhonda Meeks
• Mrunalee Milan Mehta, MD
• Adamantios Michael Mellis, MD
• Grace Ann Melson, CRNP

• All providers in Roswell, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.