Elly Riley, DO
NPI 1063649408 · Family Medicine Physician · Jackson, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elly Riley, DO is a Family Medicine Physician provider in Jackson, TN (NPI 1063649408).
Provider details
- NPI number
- 1063649408
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- DO0000002406 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
17 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$54 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 641 Rb Wilson DrHuntingdon, TN 38344-1733Phone: (731) 986-7400
Registry dates
- Enumerated
- 2009-06-12
- Last updated
- 2023-10-09
- Certified
- 2023-10-09
Frequently asked questions
- What is Elly Riley's NPI number?
- Elly Riley's National Provider Identifier (NPI) is 1063649408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elly Riley's specialty?
- Elly Riley is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elly Riley located?
- Elly Riley's practice location on file with NPPES is 294 Summar Dr, Jackson, TN 38301-3915.
- What is Elly Riley's phone number?
- The practice phone number listed in the NPPES registry for Elly Riley is (731) 423-1932.
- Does Elly Riley accept Medicare?
- Elly Riley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elly Riley's NPI active?
- Yes — Elly Riley's NPI (1063649408) is active in the NPPES registry as of the last update on 2023-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.