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

Carolyn Ellis

Individual provider Medical Physician Assistant · NPI 1104291533

Carolyn Ellis is a Medical Physician Assistant in Dickson, Tennessee. Licensed in Alabama and Tennessee. Registered with an NPI since 2015.

Licensed in
AL, TN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1904 Highway 46 S Ste 3
Dickson, TN 37055-7744
Phone: (615) 375-8469
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2879 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1087 (AL)

Record details

NPI number1104291533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2015
Last updated in NPPESDecember 10, 2015

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