Jessica Ellis Durham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2926 Issued in TN

Practice address

4301 Hillsboro Pike
Suite 330
Nashville, TN 37215-3345

Phone

(615) 297-7547

Fax

(615) 297-7576

NPI assigned

Jul 6, 2010

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 names 1

• Dr. Jessica Holman Ellis Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Green Hills Eyecare PLLCGroup PAC ID 0648548644, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Green Hills Eyecare, PLLC

  • Optometrist
  • Nashville, TN
  • NPI 1740726603
  Medicare reassignment Care Compare group NPD Authorized official
• Rosin Eyecare P.C.

  • Optometrist
  • Nashville, TN
  • NPI 1740847086
  NPD (past)
• Rosin Eyecare P.C.

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1457983892
  NPD (past)

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1942512140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE",
            "address_2": "SUITE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-297-7547",
            "fax_number": "615-297-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE",
            "address_2": "SUITE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-297-7547",
            "fax_number": "615-297-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "JESSICA",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ELLIS",
            "middle_name": "HOLMAN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Colleen Durda, LCSW
• Alyssa Walden Durdunji
• Chandra Musarra Durham
• Demmie Select One Durham, DPT
• Haley Durham, PA
• Jonathan Durham, LMFT
• Lynee Minor Durham
• Samantha Durham, RN
• Sandra Durham, MASTERS MFT
• Taylor Durham, MED

• Optometrist in Nashville, TN
• Providers in Nashville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.