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

Ellesse Smith

Individual provider Nurse Practitioner · NPI 1275292666

Ellesse Smith is a Nurse Practitioner in Old Hickory, Tennessee. Qualified in 2021, 5 years ago. Practices with Physician Services of Middle Tennessee, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021

Practice location Address checks out

1250 Robinson Rd
Old Hickory, TN 37138-3326
Phone: (615) 390-4733
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 30474 (TN)

Record details

NPI number1275292666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address808 Walpole Dr, Gallatin, TN 37066-6753

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Physician Services Of Middle Tennessee, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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