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

Jennifer T Ellis, MD

Individual provider Family Medicine Physician · NPI 1083641757

Jennifer T Ellis, MD is a Family Practice in Simpsonville, South Carolina. Graduated from University of California, San Diego School of Medicine in 2000, 26 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
26
Trained at
University of California, San Diego School of Medicine
Licensed in
SC
In the registry since
2006
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

717 SE Main St
Simpsonville, SC 29681-3237
Phone: (864) 522-5400
Fax: (864) 522-5405
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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 24518 (SC)

Record details

NPI number1083641757
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESAugust 15, 2017

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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