Nadine Angela Ennis, P.A.C.
Medical Physician Assistant · Atlanta, GA
Nadine Angela Ennis, P.A.C. is a medical physician assistant with a practice address in Atlanta, Georgia, and NPI 1962571612, issued on Nov 7, 2006. Check the license (Georgia 004493, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nadine Angela Ennis
- Credential
- P.A.C.
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 004493 GA
Self-reported in NPPES; status is on the state search - Practice location
- 3620 Martin Luther King JR Dr SW, Atlanta, GA 30331
- Phone
- (404) 696-7300
- Enumerated
- Nov 7, 2006
- Record last updated
- Sep 27, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (404) 699-3514
- Medicaid IDs
- 457877647A GA
457877647C GA
457877647D GA
457877647B GA - Medicare enrollment
- Enrolled (PECOS I20070207000190); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3620 Martin Luther King JR Dr SW
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michel Brathwaite, MDNephrology Physician1295723492
- Nicole Brown, PA-CMedical Physician Assistant1871524090
- Yomaris Figueroa Ramirez, RDN, LDN, RYTRegistered Dietitian1689139347
- Roseline Otunga, FNPFamily Nurse Practitioner1770176661
Verify Nadine Angela Ennis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 004493Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $307.15
16 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Southwest Atlanta Nephrology, PCDecatur, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Medical Physician Assistant providers in Georgia
There are 1,302 medical physician assistant records in Georgia.
Other medical physician assistant records in Georgia
- John Aaron, PAAlpharetta, GA1356650139
- Natalia Abazeri, PA-CStockbridge, GA1174904106
- Aisha Abdullahi, PA-CAtlanta, GA1063198463
- Daryl Abney, PAS-CMarietta, GA1578532016
- David Abney, PABraselton, GA1891102703
- Taylor Abu-Alrub, PA-CGainesville, GA1881192870
- Anna Adams, P.A.Atlanta, GA1407949209
- Marylyn Adamski, PA-CAtlanta, GA1366570269
- Kelly Agnone, PA-CAtlanta, GA1841730561
- Monica Agrawal, PA-CMarietta, GA1306224779
Common questions
What is Nadine Angela Ennis, P.A.C.'s NPI number?
Nadine Angela Ennis, P.A.C.'s National Provider Identifier (NPI) is 1962571612, issued on Nov 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Nadine Angela Ennis, P.A.C. located?
The NPPES record lists a practice address at 3620 Martin Luther King JR Dr SW, Atlanta, GA, 30331. Phone: (404) 696-7300. Providers update this record themselves, so call before visiting.
How can I verify Nadine Angela Ennis, P.A.C.'s license?
NPPES lists Georgia license number 004493, 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.