Individual
DR. JAMES LEE ELLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SKYLINE DRIVE, JACKSON, TN 38301
(731) 541-6174
(731) 541-8008
Mailing address
PO BOX 11955, JACKSON, TN 38308-0132
(731) 541-5000
(614) 210-1886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16362
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300056938
RR MEDICARE
—
05
—
3018989
—
TN
01
—
3058561
BCBS
—
05
—
3328435
—
TN
05
—
3328436
—
TN
01
—
4102603
BCBS
—
Enumeration date
03/06/2006
Last updated
07/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us