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

Mr. Ellis Tavin, MD

Individual provider Plastic Surgery Physician · NPI 1326003179

Mr. Ellis Tavin, MD is a Plastic and Reconstructive Surgery in Memphis, Tennessee. Graduated from Albert Einstein College of Medicine of Yeshiva University in 1987, 39 years ago. Practices with The Plastic Surgery Group of Memphis PC, a 7-clinician group and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
39
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NC, TN
In the registry since
2006
Specialties on file
2
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

80 Humphreys Center Dr #100
Memphis, TN 38120
Phone: (901) 761-9030
Fax: (901) 473-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 41308 (TN)
Plastic Surgery Physician Taxonomy 208200000X · Licence 9601744 (NC)

Record details

NPI number1326003179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address8110 N Brother Blvd, Ste 200, Bartlett, TN 38133-2760

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesOTOLARYNGOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 1987 (39 years in practice)
Group practice The Plastic Surgery Group Of Memphis P.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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