Jim P Ellison (NPI# 1811251291, PAC ID# 0749402139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1811251291 |
| PAC ID by PECOS | 0749402139 |
| Professional Enrollment ID | I20150721002863 |
| Full Name | Jim P Ellison |
| Organization Legal Name | INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C. |
| Address |
100 Rice Mine Rd N Suite B Tuscaloosa AL 35406-2375 |
| Phone Number | 2053494285 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800813957 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010092 | D C H REGIONAL MEDICAL CENTER |
| 010109 | PICKENS COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 | 2053494285 | INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C. |
| 801 University Blvd E, Tuscaloosa, AL 35401-2029 | 2057597800 | DCH HEALTH CARE AUTHORITY |
| 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2057597333 | DCH HEALTH CARE AUTHORITY |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley Patrick Hill | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Tracy C Grissett | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Richard Shamblin | Internal Medicine | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Julienne Edith Marie Sullivan | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Alisha Marie Moore | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Kristin Nicole Moudry | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| William E Alldredge | Internal Medicine | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Street Address |
100 RICE MINE RD N SUITE B |
| City | TUSCALOOSA |
| State | AL |
| Zip | 35406-2375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley Patrick Hill | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| James B Wilhite | Internal Medicine | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 | |
| Tracy C Grissett | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Richard Shamblin | Internal Medicine | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Adisesha B Reddy | Gastroenterology | Gastro Care PC | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2375 |
| Rekha Khurana | Gastroenterology | Gastro Care PC | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2375 |
| Leigh Schmersahl Rose | Nurse Practitioner | Gastro Care PC | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2375 |
| Julienne Edith Marie Sullivan | Nurse Practitioner | Internal Medicine Associates of Tuscaloosa, P.C. | 100 Rice Mine Rd N, Suite B, Tuscaloosa, AL 35406-2375 |
| Courtney A Hanna | Pathology | Gastro Care PC | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2375 |
| Subhash C Bajaj | Gastroenterology | Gastro Care PC | 100 Rice Mine Rd N, Suite E, Tuscaloosa, AL 35406-2375 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rivers Shulman | Diagnostic Radiology | The Radiology Clinic LLC | 208 Mcfarland Cir N, Suite 100, Tuscaloosa, AL 35406-1800 |
| Richard M Kendrick | Diagnostic Radiology | The Radiology Clinic LLC | 208 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 |
| Charles E King | Diagnostic Radiology | The Radiology Clinic LLC | 208 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 |
| Nathan E Parvin | Optometry | 301 Riverdale Dr, Tuscaloosa, AL 35406-1807 | |
| John W Menard | Plastic and Reconstructive Surgery | 401 Towncenter Blvd, B, Tuscaloosa, AL 35406-1822 | |
| John R Hubbard | Psychiatry | 201 Towncenter Blvd, Tuscaloosa, AL 35406-1824 | |
| Lisa C Ryan | Nurse Practitioner | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Richard E Jones Iii | Rheumatology | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Mary E Cole | Nurse Practitioner | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Jillian L Barnette | Nurse Practitioner | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Find all physicians in zip 35406 | |||
| City | TUSCALOOSA |
| Zip Code | 35406 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TUSCALOOSA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jim P Ellison.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.