IndividualActive
Ira Ellis, MD
NPI 1922005388 · Addiction Medicine (Family Medicine) Physician · Milan, TN
Provider details
- NPI number
- 1922005388
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 38294 (TN)
Mailing address
294 Summar Dr
Jackson, TN 38301-3915
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2024-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.