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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Richard Alan Ellis M.D,

Surgery Physician in Germantown, TN · enumerated 2010 · authorized official Donica Ellis, Practice Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033412846

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Registry record

Entity type Organization (Type 2)
Legal business name Richard Alan Ellis M.D,
Practice address 3066 Fountainside Dr Ste 102, Germantown, TN, 38138
Fax (901) 755-7380
Enumeration date Dec 16, 2010
Last updated in NPPES Jan 16, 2013

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MD016474 (TN) Primary

Authorized official

Name Donica Ellis
Title Practice Administrator

Other identifiers

Identifier Type State Issuer
3026121 Other TN TENNESSEE MEDICAID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Richard Alan Ellis M.D,?
The NPI for Richard Alan Ellis M.D, is 1033412846, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Richard Alan Ellis M.D,?
NPPES lists Donica Ellis (Practice Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-16.