National Provider Identifier Database

JAMES L ELLIS JR, MD – NPI #1275500597
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JAMES L ELLIS JR, MD
620 SKYLINE DRIVE
JACKSON, TN38301
Phone: 731-541-6174
Fax: 731-541-8008
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JAMES L ELLIS JR

NPI Number 1275500597
Credentials MD
Entity Individual
Enumeration date 03/06/2006
Last updated 07/15/2025 - About 11 months ago
Sole proprietor1 No
Identifiers
  • TN License #: 16362
  • TN Medicaid: 3018989
  • TN Medicaid: 3328435
  • TN Medicaid: 3328436
  • Other: 3058561 BCBS
  • Other: 4102603 BCBS
  • Other: 300056938 RR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JAMES L ELLIS JR, MD

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