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

Justin Michael Ellison

Individual provider Registered Nurse · NPI 1245688928

Justin Michael Ellison is a Nurse Practitioner in Chattanooga, Tennessee. Graduated from Vanderbilt University School of Medicine in 2016, 10 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in Florida, New Mexico, South Dakota and Tennessee and 1 more.

Years since qualifying
10
Trained at
Vanderbilt University School of Medicine
Licensed in
FL, NM, SD, TN, WA
In the registry since
2016
Specialties on file
7

Practice location Address checks out

1949 Gunbarrel Rd Ste 206
Chattanooga, TN 37421-7133
Phone: (423) 495-4349
Fax: (423) 495-4934
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP003314 (SD)
Registered Nurse Taxonomy 163W00000X · Licence 9344794 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 196881 (TN)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence 31438 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence N360677930 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence 60350 (NM)
Nurse Practitioner Taxonomy 363L00000X · Licence 31438 (TN)

Record details

NPI number1245688928
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 2, 2016
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chattanooga