GARY NEWTON ELLEDGE MSN, NP-C
NPI 1831417658
Nurse Practitioner - Family in Kimball, TN

Q: What is Gary Elledge's NPI number?

The NPI number for Gary Elledge is 1831417658. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Q: What is Gary Elledge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Elledge was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 05, 2010

1511 MAIN ST, KIMBALL, TN 37347(423) 837-6000 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gary Newton Elledge Msn, Np-c NPPES

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

GARY NEWTON ELLEDGE MSN, NP-C (NPI 1831417658) is an individual family provider in Kimball, Tennessee, licensed in Tennessee (APN0000014743) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1831417658

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGARY NEWTON ELLEDGECredential: MSN, NP-C

Location Address1511 MAIN STKimball, TN 37347-5551

Mailing Address1511 Main StKimball, TN 37347-5551 · (423) 837-6000

Phone(423) 837-6000

Sole ProprietorNo

Enumeration DateMay 5, 2010

Last NPPES UpdateMay 28, 2010

✔ NPI 1831417658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN0000014743

1511 MAIN ST, Kimball, TN 37347

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Other Providers at the Same Location NPPES 3

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

DR. JASON ERNEST CHASTAIN DC

Chiropractor (Nutrition)

1511 MAIN ST
KIMBALL, TN 37347

Marion County (423) 942-2222

JENNIFER BROYLES MD LLC

Family Medicine

1511 MAIN ST
KIMBALL, TN 37347

Marion County (423) 837-6000

BRENDA K. SOWTER D.O.

Family Medicine

1511 MAIN ST
KIMBALL, TN 37347

Marion County (423) 837-6000

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 Gary Elledge's NPI number?

The NPI number for Gary Elledge is 1831417658. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is Gary Elledge located?

Gary Elledge practices at 1511 Main St, Kimball, TN 37347. The listed phone number is (423) 837-6000.

What is Gary Elledge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gary Elledge was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.