Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ZACHARY DIMITRI ELLIS, DO
Active Sole ProprietorInternal Medicine · TUPELO, MS
Registration Details
- NPI Number
- 1124778873
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2022 (4.0862324253516 yrs)
- Last Updated
- Jul 7, 2025
- License
-
33630 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
830 S GLOSTER STTUPELO, MS, 388014996Browse MS providers · Browse ZIP 38801
- Phone
- 6623772539
- Fax
- 6623772920
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in TUPELO, MS
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY ALLEN ALBERS | MD | 1891767687 |
| JAMES LEO BROWN | MD | 1497728968 |
| FRANK FORTENBERRY | MD | 1811963408 |
| JAMES KENNETH HARVEY | MD | 1881660942 |
| RICHARD HENDRICK | MD | 1770559841 |
| DERRECK MENEFEE | MD | 1275502403 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.