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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. ELLEISE MCKENZIE LANNOM
NPI 1114841061
Physician Assistant in Cleveland, TN

Active since August 05, 2026
6965 CUMBERLAND GAP PKWY, CLEVELAND, TN 37311(423) 650-6615 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Elleise Mckenzie Lannom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELLEISE MCKENZIE LANNOM (NPI 1114841061) is an individual physician assistant in Cleveland, Tennessee and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1114841061
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ELLEISE MCKENZIE LANNOM
Location Address6965 CUMBERLAND GAP PKWYCleveland, TN 37311
Mailing Address6965 Cumberland Gap PkwyCleveland, TN 37311 · (423) 650-6615
Phone(423) 650-6615
Sole ProprietorNo
Enumeration DateAugust 5, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1114841061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6965 CUMBERLAND GAP PKWY, Cleveland, TN 37311
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elleise Lannom's NPI number?

The NPI number for Elleise Lannom is 1114841061. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Where is Elleise Lannom located?

Elleise Lannom practices at 6965 Cumberland Gap Pkwy, Cleveland, TN 37311. The listed phone number is (423) 650-6615.

What is Elleise Lannom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Elleise Lannom was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.