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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Michael C Ellis, M.D.

Diagnostic Radiology Physician in Goodlettsville, TN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033158191

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Registry record

Entity type Individual (Type 1)
Name Mr. Michael C Ellis
Credential M.D.
Sex Male
Practice address 3024 Business Park Cir, Goodlettsville, TN, 37072
Fax (615) 851-2018
Enumeration date Jun 5, 2006
Last updated in NPPES Nov 30, 2011

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD11612 (TN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
300108651 Other TN RAILROAD MEDICARE
4200345 Other TN BCBS TN
1509264 Other TN MEDICAID - MTI
64918170 Medicaid KY -
3135920 Other TN BCBS
1509264 Medicaid TN -
3035616 Medicaid TN -
3031462 Other TN BCBS
4291338 Other TN BCBS - MTI
64918170 Other TN TRICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Michael Ellis?
Michael Ellis is registered in NPPES with the primary taxonomy of Diagnostic Radiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-30.