NPPES file of Aug 9, 2026

Donovan Ellis, PHD

Clinical Psychologist · Atlanta, GA

Donovan Ellis, PHD is a clinical psychologist with a practice address in Atlanta, Georgia, and NPI 1124794243, issued on Aug 18, 2021. Check the license (Georgia PSY004807, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124794243
Name
Donovan Ellis
Credential
PHD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
PSY004807 GA
Self-reported in NPPES; status is on the state search
Practice location
12 Executive Park Dr NE, Atlanta, GA 30329
Phone
(404) 941-5381
Enumerated
Aug 18, 2021
Record last updated
Aug 26, 2024
Medicare enrollment
Enrolled (PECOS I20241007003125); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 12 Executive Park Dr NE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Christi Acker, DPT, PTNeurology Physical Therapist1013491091
  2. Ebtisam Alumin Osman, M.DNeurology Physician1659759207
  3. Peter Ash, MDPsychiatry Physician1053379669
  4. Emily Beus, DPTPhysical Therapist1508511338
  5. Gabriela BouNeurology Physician1497383087
  6. Andrew Breithaupt, MDNeurology Physician1225494230

Verify Donovan Ellis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license PSY004807
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. The Emory Clinic IncAtlanta, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Donovan Ellis among 1,169 clinical psychologist records in Georgia

Donovan Ellis, PHD is one of 1,169 clinical psychologist records with a practice address in Georgia. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 89% of them.

  • NPI issued2021 · 89% of these records are older, 8% newer
  • In a Medicare fileYes · 9% of these records are
  • In the CMS Doctors and Clinicians fileYes · 17% of these records are
  • Graduated2022 · median 1999 among the 201 with a school on file
  • Record last updated2024 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

367 clinical psychologist records list a practice address in Atlanta

They are 367 of the 31,476 NPPES records with a practice address in Atlanta, and 1,169 clinical psychologist records in Georgia.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Jacquelyn Bertrand, PHDAtlanta, GA 303291710068051
  2. Claire Coles, PHDAtlanta, GA 303291780765065
  3. Sobha Fritz, PHDAtlanta, GA 303291013012079
  4. Maryrose Gerardi, PHDAtlanta, GA 303291811929938
  5. Lisa Guy, PHDAtlanta, GA 303291588745814
  6. Christine Hall, PH.D.Atlanta, GA 303291114016714
  7. David Jaquess, PHDAtlanta, GA 303291437230760
  8. Donald Kent, PH.D.Atlanta, GA 303291639237696

Common questions

What is Donovan Ellis, PHD's NPI number?

Donovan Ellis, PHD's National Provider Identifier (NPI) is 1124794243, issued on Aug 18, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Donovan Ellis, PHD located?

The NPPES record lists a practice address at 12 Executive Park Dr NE, Atlanta, GA, 30329. Phone: (404) 941-5381. Providers update this record themselves, so call before visiting.

How can I verify Donovan Ellis, PHD's license?

NPPES lists Georgia license number PSY004807, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.