Amanda Leigh Ellis (NPI# 1659871424, PAC ID# 9032457015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659871424 |
| PAC ID by PECOS | 9032457015 |
| Professional Enrollment ID | I20190218001028 |
| Full Name | Amanda Leigh Ellis |
| Organization Legal Name | SOUTHEAST UROGYN LLC |
| Address |
501 Marshall St Suite 600 Jackson MS 39202-1650 |
| Phone Number | 6019486540 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517197718 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 251318 | NORTH SUNFLOWER MEDICAL CENTER CAH |
| Address | Phone | Organization |
|---|---|---|
| 501 Marshall St, Suite 600, Jackson, MS 39202-1650 | 6019486540 | SOUTHEAST UROGYN LLC |
| 202 S Ruby Ave, Ruleville, MS 38771-3227 | 6627562500 | NORTH SUNFLOWER MEDICAL CENTER |
| 840 N Oak Ave, Ruleville, MS 38771-3227 | NORTH SUNFLOWER MEDICAL CENTER | |
| 840 N Oak Ave, North Sunflower County Hospital, Ruleville, MS 38771-3227 | 6017562711 | NORTH SUNFLOWER MEDICAL CENTER |
| 860 N Oak Ave, Trina Health of North Sunflower, Ruleville, MS 38771-3227 | 6627564000 | NORTH SUNFLOWER MEDICAL CENTER |
| Organization Legal Name | SOUTHEAST UROGYN LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie S Nimon | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Steven E Speights | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Robert L Harris | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Street Address |
501 MARSHALL ST SUITE 600 |
| City | JACKSON |
| State | MS |
| Zip | 39202-1650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
| Brittany A Little | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Robert W Naef | Obstetrics/gynecology | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 | |
| Ashley M Johnson | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 501 Marshall St, Suite 400, Jackson, MS 39202-1687 |
| Lindsey B Lassiter | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Laurie S Nimon | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Raymond L Portis | Internal Medicine | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Bedear Petro | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Steven E Speights | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Sabra Sullivan | Dermatology | 501 Marshall St, Suite 606, Jackson, MS 39202-1650 | |
| Robert L Harris | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Leticia Otchere-darko | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Find all physicians in zip 39202 | |||
| City | JACKSON |
| Zip Code | 39202 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda Leigh Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.