Ellen A Huddleston, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1752 Issued in TN

Practice address

300 20TH Ave N Ste 505
Nashville, TN 37203-2131

Phone

(615) 340-4655

Fax

(615) 340-4596

NPI assigned

Jun 21, 2006

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ellen A McGrath Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ellen.huddleston.1@17902.direct.athenahealth.com

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

• Pediatrix Medical Group of Tennessee, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Nashville, TN
  • NPI 1497852107
  NPD (past)
• Synergy Health Systems, PLLC

  • Family Medicine Physician
  • Farragut, TN
  • NPI 1124346762
  NPD (past)
• Tennessee Innovative Medical Services PLLC

  • Vascular & Interventional Radiology Physician
  • Knoxville, TN
  • NPI 1114285400
  NPD (past)
• Women Obstetrics & Gynecology PLC

  • Specialist
  • Nashville, TN
  • NPI 1578577565
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1619913431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 505",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-340-4655",
            "fax_number": "615-340-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 505",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-340-4655",
            "fax_number": "615-340-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "ELLEN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-08-31",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "970022269",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MCGRATH",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Imran Huda, MD
• Shireen Parveen Huda, M.D.
• Julieanna Marie Huddle
• Barton West Huddleston, M.D.
• Candler Huddleston
• Megan Lurty Huddleston, DPT
• Rebecca Eleise Huddleston, PHARMD
• Sarah Emmeline Huddleston, RD, LD
• Melissa Hudgens, LPC-MHSP, LADACII
• Asia Hudson

• Medical Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.