Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952309312 Individual Practitioner Male Practitioner

Dr. John Ellis , MD

Pediatrics • Collierville, TN

Professional Overview & Biography Verified Profile Summary

Dr. John Ellis, MD is a registered healthcare professional specializing in Pediatrics in Collierville, TN. Practice services are available at 511 MARKET BLVD STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

511 Market Blvd Ste 105

Collierville, TN 380172360

Telephone 9014572880
Fax 9014572881
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Collierville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Collierville, TN (1299 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3007859 (TN)

Secondary Practice Locations

871 Ridgeway Loop Rd Ste 200

Memphis, TN 381204007

Phone: 9018219990

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Rachel Britton , LCSW

Social Worker - Clinical

NPI 1104529064

Licensed Clinical Social Worker

NPI 1275024499

Doctor of Medicine (M.D.)

NPI 1376120196

Doctor of Medicine (M.D.)

NPI 1659378396

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 28, 2025

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

📍
Updated Business Mailing Address March 28, 2025

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

NPI Profile Active January 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2011

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

📍
Updated Business Mailing Address January 03, 2011

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

👤
Provider Name / Credentials Updated January 03, 2011

Recorded as JOHN ELLIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2011

Pediatrics (License #15145 in TN)

🟢
Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.