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

Richard Alan Ellis, MD

Individual provider Surgery Physician · NPI 1174581623

Richard Alan Ellis, MD is a General Surgery in Germantown, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1975, 51 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
51
Trained at
University of Tennessee, Hsc, College 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.

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Practice location Address checks out

7705 Poplar Ave Ste 310
Germantown, TN 38138-3930
Phone: (901) 516-6300
Fax: (901) 516-6350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 81 Ed Perry Blvd Ste 105, Oxford, MS 38655-3465 — (622) 636-5550

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 16474 (TN)

Record details

NPI number1174581623
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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