ELLIS M. COLLINS, JR. M.D. – NPI #1962647628
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ELLIS COLLINS, JR. is a physician located in FORREST CITY, AR. NPPES has assigned the NPI number 1962647628 to ELLIS COLLINS, JR. on December 10, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLIS COLLINS, JR. below.

NPI Profile for
ELLIS M. COLLINS, JR.

NPI Number
1962647628
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ELLIS M. COLLINS, JR.
Credentials
M.D.
Primary location
1301 E BROADWAY ST
FORREST CITY, AR 72335-3922
Phone: (870) 633-5761 Fax: (870) 633-5761
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
AR C-2851
207QA0505X
- Family Medicine / Adult Medicine
AR C-2851

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.