Mollie Mae Ellington, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN195588 Issued in GA

Practice address

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

Phone

(678) 833-4123

NPI assigned

May 26, 2023

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

• Mollie Mae Walker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1902598907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 KNOLL CREST TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195074",
            "telephone_number": "678-833-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "678-833-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "MOLLIE",
        "middle_name": "MAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN195588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "WALKER",
            "middle_name": "MAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole P Ellerine, M.D.
• Amanda Nicole Karski Ellington, RN, CCRN
• Ashlyn Ayres Ellington, LCSW
• Charles P Ellington III, MD
• Jasmine Ellington, NP
• Linda S Elliot, MS, CCC/SLP
• Alexandra Marie Elliott
• Christopher Elliott, LCSW
• John Linton Elliott Jr., M.D.
• Lester Franklyn Elliott II, M.D.

• General Practice Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.