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Dr. Danielle Hodges Ellis , MD

Pediatrics β€’ Jackson, MS

Active NPI 1609627637 Individual Practitioner Female Practitioner
Practice location in NPPES

2500 N State St
Jackson, MS 392164500

Call 6019841000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019841000
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Ellis as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Mississippi

130 active clinicians are listed under Pediatrics with a practice address in Jackson, MS (418 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 130 clinicians have the CMS telehealth indicator.

11.5% of these 130 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MS T-5295

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Leigh Brantley , CRNA

Registered Nurse

NPI 1013669019

Certified Registered Nurse Anesthetist

Dr. Austin Conn , DNP

Nurse Anesthetist, Certified Registered

NPI 1013647247

Doctor of Nursing Practice

Theresa Davis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013213693

Certified Registered Nurse Anesthetist

Dr. Eric Hutto , MD

Anesthesiology

NPI 1023320322

Doctor of Medicine (M.D.)

Hanan Ibrahim

Internal Medicine - Rheumatology

NPI 1023591682
James Ishee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053330381

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2024

Pediatrics (license number reported to NPPES: MS T-5295)

βœ…
NPI Profile Active March 28, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 28, 2024

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019841000)

πŸ“
Business Mailing Address (Initial Record) March 28, 2024

Registered at 2500 N STATE ST # R102, JACKSON, MS 392164500 (Tel: 6019841113)

πŸ‘€
Provider Name / Credentials (Initial Record) March 28, 2024

Recorded as DANIELLE ELLIS, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 28, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609627637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2024
Last Update: July 17, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Jackson

All Pediatrics Specialists in Jackson

Mailing Address

2500 N State St # R102

Jackson, MS 392164500

Phone: 6019846562

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.