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ROBERT ELLIS JR. PA-C
NPI 1780278499
Physician Assistant - Surgical in Memphis, TN

Active since February 23, 2021PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
6025 WALNUT GROVE RD STE 301, MEMPHIS, TN 38120(901) 226-0456(901) 226-0458 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2025, Oct 24, 2023, Feb 23, 2021 (3 updates tracked since 2021).

About Robert Ellis Jr. Pa-c NPPES

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

ROBERT ELLIS JR. PA-C (NPI 1780278499) is an individual surgical provider in Memphis, Tennessee, licensed in Tennessee (5490) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780278499
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameROBERT ELLIS JR.Credential: PA-C
Location Address6025 WALNUT GROVE RD STE 301Memphis, TN 38120-2123
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (877) 348-1281 · Fax (901) 227-3206
Phone(901) 226-0456
Fax(901) 226-0458
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 23, 2021
Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1780278499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in TN · 5490✔ Licensed in MS · PA00540
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
6025 WALNUT GROVE RD STE 301, Memphis, TN 38120
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12100 Exeter RdGermantown, TN 38138-3966 · Phone (901) 757-1350 · Fax (901) 757-3496
Location 2363 Southcrest Cir Ste 202Southaven, MS 38671-4737 · Phone (901) 226-0456 · Fax (901) 226-0458
Location 38138 Country Village DrCordova, TN 38016-2029 · Phone (901) 725-8606 · Fax (901) 759-9254

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Ellis Jr. Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921414582
PECOS Enrollment IDI20210304002595, I20230427002622
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

CORTNEY TERHUNE NP
Nurse Practitioner (Acute Care)
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0456
KATHRYN LEE P.A.
Physician Assistant (Surgical)
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0456
DR. JANE ZHAO M.D., M.S.
Surgery
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0456
KRISTEN ELIZABETH PIRVU PA-C
Physician Assistant (Surgical)
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0456
HARVEY EDWARD GARRETT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0456
KARI ROSE WIPFLI P.A.
Physician Assistant (Surgical)
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0456
NICHOLAS PELLICCIO MD
Surgery (Vascular Surgery)
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0458
RHEA EDWARDS PA-C
Physician Assistant (Surgical)
6025 WALNUT GROVE RD STE 301
MEMPHIS, TN 38120
Shelby County (901) 226-0456

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 Robert Ellis's NPI number?

The NPI number for Robert Ellis is 1780278499. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Robert Ellis located?

Robert Ellis practices at 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120. The listed phone number is (901) 226-0456.

What is Robert Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Robert Ellis enrolled in Medicare?

Yes. Robert Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Ellis accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Health Advantage, Octave and Oscar Health Plan, Inc. and 2 other insurers list Robert 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.

Is Robert Ellis affiliated with any hospitals?

According to CMS data, Robert Ellis is affiliated with Baptist Memorial Hospital Desoto and Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Ellis was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.