MRS. MEG WILLIAMS ELLIS


Address: 2244 Boones Creek Rd, Johnson City, TN 37615-4432
Phone: 4237534000

MRS. MEG WILLIAMS ELLIS (NPI# 1083910384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083910384
Entity Type Individual
Full Name MRS. MEG WILLIAMS ELLIS
Credential PA-C
Practice Address 2244 Boones Creek Rd
Johnson City
TN 37615-4432
Mailing Address Po Box 5278
Johnson City
TN 37602-5278
Practice Telephone 4237534000
Practice Fax Number 4237534004
Mailing Telephone 4237534000
Mailing Fax Number 4237534004
Enumeration Date 2011-02-03
Last Update Date 2011-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1941 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2244 BOONES CREEK RD
City JOHNSON CITY
State TN
Zip Code 37615-4432

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114392313 Heather Bishop Physician Assistant 2244 Boones Creek Rd, Johnson City, TN 37615-4432 2015-12-14
1154747418 Genesis Center for Wellness Chiropractor 2244 Boones Creek Rd, Johnson City, TN 37615-4432 2014-03-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568962983 Clayton Kilgore Pharmacist 208 Suncrest St Unit 1, Gray, TN 37615 2018-02-13
1346648268 Jesse Mullins Pharmacist 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 2014-12-09
1750650875 Medical Education Assistance Corporation Pediatrics 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 2011-12-19
1700018603 Anna Lynne Deal Nurse Practitioner 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 2009-08-11
1285876631 Leigh A Furman Occupational Therapist 253 Wiltshire Dr., Gray, TN 37615 2009-04-01
1811098908 Fay Lynn Bembry Nurse Practitioner 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 2006-09-25
1871528976 Boones Creek Medical Pllc Family Medicine 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 2006-07-11
1568402048 Joseph Vincent Pinyard Jr. Family Medicine 880 Boones Station Rd, Johnson City, TN 37615 2006-06-07
1548223084 Pitchar Theerathorn Internal Medicine 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 2006-04-07
1194717157 Susan Kay Pennypacker Nurse Practitioner 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 2005-08-16
Find all providers in zip 37615

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083965651 Shalena Peterson Physician Assistant 301 Med Tech Pkwy Ste 280, Johnson City, TN 37604-2364 2012-09-24
1063544716 Christine Turbyfill Kinley Physician Assistant 3741 W Market St, Johnson City, TN 37604 2007-03-09
1508877416 Pamela B Davis Physician Assistant 1627 Old Gray Station Rd, Ste 4, Johnson City, TN 37615-4193 2006-08-10
1437166477 Thomas Alan Frantzen Physician Assistant Corner of Sidney and Lamont Streets, Johnson City, TN 37684-4000 2006-08-02
1700828977 Melvin James Willis Physician Assistant James H Quillen/va Medical Center, Coner of Sidney & Lamont, Johnson City, TN 37684 2006-06-12
1902888944 Bryan Daniel Lorch Physician Assistant 2514 Wesley St, 102, Johnson City, TN 37601-1764 2005-11-16
1386268159 James Owen Thigpen Physician Assistant 410 N State of Franklin Rd Ste 130, Johnson City, TN 37604-6972 2020-06-08
1841814803 Anthony Brian Jones Physician Assistant 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 2020-06-04
1790319317 Frances Wilson Physician Assistant 401 E Watauga Ave, Johnson City, TN 37601-4036 2020-02-24
1841741196 Grace Internal Medicine, LLC Physician Assistant 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 2016-10-21
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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