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

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: October 25, 2026.

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ellis Gavin Reef, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1154356764
6025 WALNUT GROVE RD ECHO LAB
Memphis, TN 38120
(901) 226-5191
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Where is Ellis Gavin Reef located?

Ellis Gavin Reef is located at 6019 Walnut Grove Rd, Memphis, TN 38120. The listed phone number is (901) 226-5000.

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.

Is Ellis Gavin Reef enrolled in Medicare?

Yes. Ellis Gavin Reef is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellis Gavin Reef?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Ellis Gavin Reef. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.