Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Ellis

Individual provider Medical Physician Assistant · NPI 1104291533

Carolyn Ellis is a Medical Physician Assistant in Dickson, Tennessee. Licensed in Alabama and Tennessee. Registered with an NPI since 2015.

Licensed in
AL, TN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1904 Highway 46 S Ste 3
Dickson, TN 37055-7744
Phone: (615) 375-8469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2879 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1087 (AL)

Record details

NPI number1104291533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2015
Last updated in NPPESDecember 10, 2015
Mailing address2203 Sandra Dr, Nashville, TN 37210-5031

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