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

Jared S Ellis, MD

Individual provider Family Medicine Physician · NPI 1790785756

Jared S Ellis, MD is a Family Medicine Physician in Tuscaloosa, Alabama. Licensed in Alabama. Registered with an NPI since 2005.

Licensed in
AL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2201 Jack Warner Pkwy
Tuscaloosa, AL 35401-1090
Phone: (205) 523-5618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17418 (AL)

Record details

NPI number1790785756
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address2201 Jack Warner Pkwy, Tuscaloosa, AL 35401-1090

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