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Contact Information

JAMES L ELLIS JR, MD
620 SKYLINE DRIVE
JACKSON, TN38301
 Phone: 731-541-6174
 Fax: 731-541-8008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JAMES L ELLIS JR · (Male)

NPI Number 1275500597
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2006
Last updated 07/15/2025 - About 11 months ago
Sole proprietor 1 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(s)
  • CAMDEN GENERAL HOSPITAL - (Critical Access)
    175 HOSPITAL DRIVE
    CAMDEN, TN 38320
  • HENDERSON COUNTY COMMUNITY HOSPITAL - (Acute Care)
    200 W CHURCH ST
    LEXINGTON, TN 38351
  • JACKSON-MADISON COUNTY GENERAL HOSPITAL - (Acute Care)
    620 SKYLINE DRIVE
    JACKSON, TN 38301
  • MILAN GENERAL HOSPITAL - (Acute Care)
    4039 HIGHLAND ST
    MILAN, TN 38358
  • VOLUNTEER COMMUNITY HOSPITAL - (Acute Care)
    161 MOUNT PELIA RD
    MARTIN, TN 38237
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.

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