Elizabeth Alison Knight Ellis, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-114106 Issued in AL

Practice address

1722 Pine St Ste 700
Montgomery, AL 36106-1125

Phone

(334) 834-1300

Fax

(334) 834-8347

NPI assigned

Jul 27, 2020

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

• Elizabeth Alison Ellis Professional name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.ellis.1@9186.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 and National Provider Directory roles.

• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  Medicare reassignment NPD
• Neurology Consultants of Montgomery, PC

  • Neurology Physician
  • Montgomery, AL
  • NPI 1487718607
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• American Family Care, LLC

  dba American Family Care

  • Primary Care Clinic/Center
  • Prattville, AL
  • NPI 1841508785
  NPD
• Jackson Hospital & Clinic, Inc.

  dba Jackson Pelvic Floor Therapy

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic, Inc.

  dba Jackson Clinic Urogynecology

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Montgomery, AL
  • NPI 1205494416
  NPD

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

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  Care Compare affiliation

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1982213898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242848",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242848",
            "telephone_number": "334-834-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 700",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061125",
            "telephone_number": "334-834-1300",
            "fax_number": "334-834-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ELIZABETH",
        "middle_name": "ALISON KNIGHT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-114106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ELLIS",
            "middle_name": "ALISON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Christian Elliott, LPC-S, NCC, RPT-S
• Tiffany Camilla Elliott, LMFT
• Dawn A Ellis-Murray, LICSW-PIP, S
• Adrienne Elyse Ellis, PTA
• Charles Michael Ellis, P.T., ATC
• Kelsey Ellis, PHARMD
• Tammi Ellis, M.ED
• Hannah Ellison, CRNP
• Yousif Elmofti, MD
• Tandrea Shirone Elmore, MS,ALC,NCC

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.