Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jared S Ellis, MD

Q: What is the NPI number for Jared Ellis?

The National Provider Identifier (NPI) for Jared Ellis is 1790785756, a Type 1 (individual) record in the CMS NPPES registry.

Family Medicine Physician in Tuscaloosa, AL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790785756

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Registry record

Entity type Individual (Type 1)

Name Jared S Ellis

Credential MD

Sex Male

Practice address 2201 Jack Warner Pkwy, Tuscaloosa, AL, 35401

Phone (205) 523-5618

Enumeration date Jul 29, 2005

Last updated in NPPES Sep 1, 2022

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 17418 (AL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1750393682	Medicaid	AL	-
541392605	Medicaid	AL	-
1750393682	Other	AL	GROUP NPI #
529700760	Medicaid	AL	-
541003926	Medicaid	AL	-
051037554	Medicaid	AL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jared Ellis?

The National Provider Identifier (NPI) for Jared Ellis is 1790785756, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jared Ellis practice?

The practice location on file with NPPES is in Tuscaloosa, AL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-01.