Individual provider · Type 1 NPI

Randall E. Ellis, MD

Emergency Medicine Physician · Clarksville, TN

NPI number 1396784138 Active

Practice location

2320 Wilma Rudolph Blvd
Clarksville, TN 37040-5821

Call (931) 645-1564 Map

Fax (931) 645-3842

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XMD27444 (TN)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1396784138

Randall E. Ellis, MD's National Provider Identifier is 1396784138, issued on Jun 6, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Clarksville, TN. The record was last updated on Jul 13, 2026.