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DUSTIN SMITH ELLIS
NPI 1306002860
Case Manager/Care Coordinator in Brentwood, TN

Active since August 04, 2008Opted out of Medicare · through Mar 19, 2028
500 WILSON PIKE CIR, SUITE 320, BRENTWOOD, TN 37027(615) 376-0034(615) 376-3488 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dustin Smith Ellis NPPES

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

DUSTIN SMITH ELLIS (NPI 1306002860) is an individual case manager/care coordinator provider in Brentwood, Tennessee and active in the NPI registry since August 2008. He has opted out of Medicare through March 19, 2028.

NPPES Registry Identity

NPI1306002860
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDUSTIN SMITH ELLIS
Location Address500 WILSON PIKE CIR, SUITE 320Brentwood, TN 37027-5252
Mailing Address500 Wilson Pike Cir, Suite 320Brentwood, TN 37027-5252 · (615) 376-0034 · Fax (615) 376-3488
Phone(615) 376-0034
Fax(615) 376-3488
Sole ProprietorNo
Enumeration DateAugust 4, 2008
✔ NPI 1306002860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
500 WILSON PIKE CIR, Brentwood, TN 37027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dustin Smith Ellis has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2024 through March 19, 2028.

Opt-Out Effective DateMarch 19, 2024
Opt-Out In Effect ThroughMarch 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA ELLIOT COUNTS
Case Manager/Care Coordinator
500 WILSON PIKE CIR, SUITE 320
BRENTWOOD, TN 37027
Williamson County (615) 376-0034
CASEY BATEMAN MS
Behavior Analyst
500 WILSON PIKE CIR, SUITE 320
BRENTWOOD, TN 37027
Williamson County (615) 376-0034
CHRISTINA KATHLEEN MCMILLIAN
Case Manager/Care Coordinator
500 WILSON PIKE CIR, SUITE 320
BRENTWOOD, TN 37027
Williamson County (615) 376-0034
KIMBERLY ME'CHELLE MILLIKEN
Developmental Therapist
500 WILSON PIKE CIR, SUITE 320
BRENTWOOD, TN 37027
Williamson County (615) 376-0034
RYAN FLETCHER BS
Behavior Analyst
500 WILSON PIKE CIR, SUITE 320
BRENTWOOD, TN 37027
Williamson County (615) 376-0034
JOHANNA MARIE LEE BCBA
Behavior Analyst
500 WILSON PIKE CIR, STE 320
BRENTWOOD, TN 37027
Williamson County (615) 376-0034
ELAINE WELLER DODD D.PH.
Pharmacist
500 WILSON PIKE CIR, SUITE 115
BRENTWOOD, TN 37027
Williamson County (615) 726-0776
FELICIA KAYE BURK M.ED.
Counselor (Professional)
500 WILSON PIKE CIR, SUITE 320
BRENTWOOD, TN 37027
Williamson County (615) 376-0034

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 Dustin Ellis's NPI number?

The NPI number for Dustin Ellis is 1306002860. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Dustin Ellis located?

Dustin Ellis practices at 500 Wilson Pike Cir Suite 320, Brentwood, TN 37027. The listed phone number is (615) 376-0034.

What is Dustin Ellis's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Dustin Ellis enrolled in Medicare?

No. Dustin Ellis has opted out of Medicare through March 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dustin Ellis was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.