ELLIS GAVIN REEF
NPI 1972184893
Internal Medicine - Cardiovascular Disease in Memphis, TN

Q: What is Ellis Gavin Reef's NPI number?

The NPI number for Ellis Gavin Reef is 1972184893. It was assigned to this organization in the NPPES registry on April 21, 2021.

Q: What is Ellis Gavin Reef's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Ellis Gavin Reef was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 21, 2021

6019 WALNUT GROVE RD, MEMPHIS, TN 38120(901) 226-5000 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellis Gavin Reef NPPES

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

ELLIS GAVIN REEF (NPI 1972184893) is a healthcare organization registered as a cardiovascular disease in Memphis, Tennessee and active in the NPI registry since April 2021. The organization lists Ellis Gavin Reef, Owner, as its authorized official.

NPPES Registry Identity

NPI1972184893

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameELLIS GAVIN REEF

Location Address6019 WALNUT GROVE RDMemphis, TN 38120-2113

Mailing Address5885 Airline Rd Unit 914Arlington, TN 38002-5118 · (901) 317-7360 · Fax (901) 317-7585

Phone(901) 226-5000

Organization SubpartNo

Authorized OfficialEllis Gavin ReefOwner · (901) 317-7360

Enumeration DateApril 21, 2021

NPPES CertifiedApril 21, 2021

✔ NPI 1972184893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6019 WALNUT GROVE RD, Memphis, TN 38120

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Other Identifiers 1

Medicaid00114675MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CASSIDY THETFORD AGNP-C

Nurse Practitioner