Ellie Mental Health - Medicare Mental Health Clinic in Johns Creek, GA

Ellie Mental Health is a medicare enrolled mental health clinic (Psychologist - Clinical) in Johns Creek, Georgia. The current practice location for Ellie Mental Health is 10700 Medlock Bridge Rd Ste 101, Johns Creek, Georgia. For appointments, you can reach them via phone at (404) 791-0832. The mailing address for Ellie Mental Health is 705 Henley Fields Cir, Johns Creek, Georgia and phone number is (404) 791-0832.

Ellie Mental Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376269738. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (404) 791-0832.

Contact Information

Ellie Mental Health
10700 Medlock Bridge Rd Ste 101
Johns Creek
GA 30097-8455
(404) 791-0832
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameEllie Mental Health
SpecialityPsychologist
Location10700 Medlock Bridge Rd Ste 101, Johns Creek, Georgia
Authorized Official Name and PositionMary Margaret Waymire (OWNER)
Authorized Official Contact4047910832
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellie Mental Health
705 Henley Fields Cir
Johns Creek
GA 30097-5924

Ph: (404) 791-0832
Ellie Mental Health
10700 Medlock Bridge Rd Ste 101
Johns Creek
GA 30097-8455

Ph: (404) 791-0832

NPI Details:

NPI Number1376269738
Provider Enumeration Date10/18/2022
Last Update Date02/19/2024
Certification Date02/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4789040445
Medicare Enrollment IDO20230523000423

Medical Identifiers

Medical identifiers for Ellie Mental Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376269738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) (* (Not Available))Secondary
103TA0700XPsychologist - Adult Development & Aging (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Primary
103TF0000XPsychologist - Family (* (Not Available))Secondary
103TP2701XPsychologist - Group Psychotherapy (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
172V00000XCommunity Health Worker (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ellie Mental Health acts as a billing entity for following providers:
Provider NameJessica Jenkins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013635481
PECOS PAC ID: 1759747421
Enrollment ID: I20230523000510
Provider NameSynita Mequinn Hudgins
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1811285836
PECOS PAC ID: 9133585896
Enrollment ID: I20230607001701
Provider NameTatiana Nicole Pelt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1982273330
PECOS PAC ID: 8426409277
Enrollment ID: I20240105003324
Provider NameDorothy Firth Smith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407360787
PECOS PAC ID: 2769833201
Enrollment ID: I20240109001459

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.