Doctor profile · Federal record

Dr. Nadine Ennis, P.A.C.

Medical Physician Assistant (CMS: Physician Assistant) · Atlanta, GA

  • NPI 1962571612
  • Accepts Medicare
  • 25 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3620 Martin Luther King JR Dr Sw
Atlanta, GA 303313711
(404) 696-7300
fax (404) 699-3514

Credentials & registration

NPPES · NUCC
NPI registered
November 2006 — 20 yrs on file
Profile last updated
September 27, 2010
Year of graduation
2001 — 25 yrs since
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Georgia #004493
Medicaid (5)
GA #457877647A · GA #457877647C · GA #457877647D · GA #457877647B · GA #457877647E

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1962571612. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$307
Transactions
16
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 3 $92.46
Boehringer Ingelheim Pharmaceuticals, INC. 3 $86.49
Ardelyx, INC. 2 $58.50
Travere Therapeutics, INC. 7 $48.59
Bayer Healthcare Pharmaceuticals INC. 1 $21.11

By nature of payment

Food and Beverage
$280
Education
$27

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
28
Patients
0
Total drug cost
$6,685
Drug Type Claims Patients Total cost
Sevelamer Carbonate Generic 17 0 $6,601
Carvedilol Generic 11 0 $84

Frequently asked questions

Auto-generated from federal data
What is Dr. Nadine Ennis's medical specialty?
Dr. Nadine Ennis practices Medical Physician Assistant in Atlanta, GA.
Where does Dr. Nadine Ennis practice?
Dr. Nadine Ennis practices at 3620 Martin Luther King JR Dr Sw, Atlanta, GA 303313711. Office phone: 4046967300.
What is Dr. Nadine Ennis's NPI?
Dr. Nadine Ennis's National Provider Identifier (NPI) is 1962571612, issued by NPPES.
Does Dr. Nadine Ennis accept Medicare assignment?
Yes. Dr. Nadine Ennis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.