Edward Stephen Ellis, M.D

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

MD0000012142 Issued in TN

Practice address

110 Deer Xing
Vonore, TN 37885-2133

Phone

(423) 884-6958

Fax

(423) 884-6959

NPI assigned

Mar 9, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376511931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 PARLIAMENT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197212",
            "telephone_number": "865-690-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DEER XING",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852133",
            "telephone_number": "423-884-6958",
            "fax_number": "423-884-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "EDWARD",
        "middle_name": "STEPHEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000012142",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TN",
            "license": "MD0000012142",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "MD0000012142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen W. Dash, L.P.C.
• Shawn Christian Davies, ATC
• James Forrest Devoe II, DC
• Andre M Durand, MD
• East Tennessee Children's Primary Care Center, Inc. (Dolly Parton Children's Hospital Vonore Pediatrics)
• Robert Michael Ferraro, H.I.S.
• Richard K Fisher, D.O.
• Foster Family Eyecare
• Eric Peter Fugate, DDS
• Joyce Ginsberg

• Occupational Medicine Physician in Vonore, TN
• Providers in Vonore, TN by specialty
• Occupational Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.