Individual
DR. JAMES LEE ELLIS JR.
Active
Individual
DR. JAMES LEE ELLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
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