Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Randall E Ellis, MD

Individual provider Emergency Medicine Physician · NPI 1396784138

Dr. Randall E Ellis, MD is an Emergency Medicine in Clarksville, Tennessee. Graduated from Vanderbilt University School of Medicine in 1989, 37 years ago. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
37
Trained at
Vanderbilt University School of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2320 Wilma Rudolph Blvd
Clarksville, TN 37040-5821
Phone: (931) 645-1564
Fax: (931) 645-3842
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD27444 (TN)

Record details

NPI number1396784138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice San Carlos Apache Healthcare Corporation — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarksville