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Dr. John Ellis , MD

Pediatrics โ€ข Collierville, TN

Active NPI 1952309312 Individual Practitioner Male Practitioner
Practice location in NPPES

511 Market Blvd Ste 105
Collierville, TN 380172360

Call 9014572880 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

511 Market Blvd Ste 105

Collierville, TN 380172360

Telephone 9014572880
Fax 9014572881
Organization at the Same NPPES Address or Phone
Pathology Specialists Of Memphis Pc Facility NPI 1437817491

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Memphis, TN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.20 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2005

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, โ€œDoes your provider accept Medicare as full payment?โ€

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

Compared with the same specialty in Collierville and Tennessee

8 active clinicians are listed under Pediatrics with a practice address in Collierville, TN (1,256 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $21.20.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $21.20

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TN 15145

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: Tennessee Department of Health License Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
3007859 (TN)

Secondary Practice Locations

871 Ridgeway Loop Rd Ste 200

Memphis, TN 381204007

Phone: 9018219990

Career & Practice History Timeline

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

8 Historical Events
๐Ÿ“
Updated Practice Location March 28, 2025

Registered at 511 MARKET BLVD STE 105, COLLIERVILLE, TN 380172360 (Tel: 9014572880)

๐Ÿ“
Updated Business Mailing Address March 28, 2025

Registered at 1211 UNION AVE STE 330, MEMPHIS, TN 381046655

โœ…
NPI Profile Active January 03, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 03, 2011

Registered at 1458 W POPLAR AVE, SUITE 201, COLLIERVILLE, TN 380170630 (Tel: 9014572880)

๐Ÿ“
Business Mailing Address (Initial Record) January 03, 2011

Registered at 777 WASHINGTON AVE, SUITE 410, MEMPHIS, TN 381054550 (Tel: 9015232945)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 03, 2011

Recorded as JOHN ELLIS, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2011

Pediatrics (license number reported to NPPES: TN 15145)

๐ŸŸข
Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952309312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2005
Last Update: March 28, 2025
Sole Proprietor: No

Mailing Address

1211 Union Ave Ste 330

Memphis, TN 381046655

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.