Individual provider Active NPI

Frank S Ellis, M.D.

  • Obstetrics & Gynecology Physician
  • Morristown, TN
National Provider Identifier
1275531980
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16327 Issued in TN
Practice address
609 McFarland St
Morristown, TN 37814-3976
Phone
(423) 714-0714
Fax
(423) 587-3799
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16327 TN Primary

Addresses

Primary practice location

609 McFarland St
Morristown, TN 37814-3976

Mailing address

609 McFarland St
Morristown, TN 37814-3976
Phone (423) 714-0714

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frank.ellis.1@3525.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001397 TN Practitioner - Obstetrics/Gynecology 9335184092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 W Morris
Suite 400 a
Morristown, TN 37813

420 W Morris Blvd
Suite 400a
Morristown, TN 37813-2255

Hospital & facility affiliations

  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16327TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Jul 1, 2017 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jan 1, 2013 Accepting new patients
Healthstar Physicians PC CurrentSince Jul 1, 2017 Accepting new patients
Morristown Hamblen Hospital Association Past Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients
Morristown Hamblen Hosp Obstetrics & Gynecology Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

609 McFarland St
Morristown, TN 37814
Phone (423) 492-7125

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1275531980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143976",
            "telephone_number": "423-714-0714",
            "fax_number": "423-587-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143976",
            "telephone_number": "423-714-0714",
            "fax_number": "423-587-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "FRANK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "16327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frank.ellis.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "609 McFarland St",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378143976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.