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CAROLYN ELLIS
NPI 1104291533
Physician Assistant - Medical in Dickson, TN

Active since December 10, 2015PECOS Enrolled
1904 HIGHWAY 46 S, SUITE 3, DICKSON, TN 37055(615) 375-8469 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN ELLIS (NPI 1104291533) is an individual medical provider in Dickson, Tennessee, licensed in Tennessee (2879) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104291533
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCAROLYN ELLIS
Location Address1904 HIGHWAY 46 S, SUITE 3Dickson, TN 37055-7744
Mailing Address2203 Sandra DrNashville, TN 37210-5031 · (865) 406-2396
Phone(615) 375-8469
Sole ProprietorNo
Enumeration DateDecember 10, 2015
✔ NPI 1104291533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in TN · 2879✔ Licensed in AL · 1087
1904 HIGHWAY 46 S, Dickson, TN 37055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
75 services73 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Ellis's NPI number?

The NPI number for Carolyn Ellis is 1104291533. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Carolyn Ellis located?

Carolyn Ellis practices at 1904 Highway 46 S Suite 3, Dickson, TN 37055. The listed phone number is (615) 375-8469.

What is Carolyn Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carolyn Ellis enrolled in Medicare?

Yes. Carolyn Ellis is registered in the Medicare PECOS enrollment system.

What insurance does Carolyn Ellis accept?

Health plans from Oscar Insurance Company list Carolyn Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Ellis was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.