Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT ELLIS JR., PA-C
ActiveROBERT ELLIS JR., PA-C is a Surgical Physician Assistant healthcare provider located in MEMPHIS, Tennessee. NPI 1780278499 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MEMPHIS, TN
Registration Details
- NPI Number
- 1780278499
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2021 (5.5062482365901 yrs)
- Last Updated
- Feb 24, 2025
- Licenses
-
PA00540 (MS)5490 (TN)
Practice Information
- Address
-
6025 WALNUT GROVE RD STE 301MEMPHIS, TN, 381202123Browse TN providers · Browse ZIP 38120
- Phone
- 9012260456
- Fax
- 9012260458
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| LYNN ANNETTE STEGALL | PA-C | 1083617930 |
| MR. JERRY EMERSON SHAW | PA-C | 1265619118 |
| JADA ANNE TRIBBLE | PA | 1285885293 |
| MR. CARL H. HARRIS | CSA | 1578895546 |
| BRIAN LAM | PA-C | 1184913022 |
| ALLYN NOELLE FARMER | PA | 1891068631 |
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.