OrganizationActive
Richard Alan Ellis M.D,
NPI 1033412846 · Surgery Physician · Germantown, TN
Richard Alan Ellis M.D, is a Surgery Physician organization in Germantown, TN (NPI 1033412846).
Provider details
- NPI number
- 1033412846
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donica Ellis, Practice Administrator(901) 755-7069
- License
- MD016474 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3066 Fountainside Dr Ste 102
Germantown, TN 38138-7820
Phone: (901) 755-7335
Fax: (901) 755-7380
Street-level locationGet directions
Mailing address
3066 Fountainside Dr Ste 102
Germantown, TN 38138-7820
Registry dates
- Enumerated
- 2010-12-16
- Last updated
- 2013-01-16
Frequently asked questions
- What is Richard Alan Ellis M.D,'s NPI number?
- Richard Alan Ellis M.D,'s National Provider Identifier (NPI) is 1033412846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Richard Alan Ellis M.D,?
- Richard Alan Ellis M.D, is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Alan Ellis M.D, located?
- Richard Alan Ellis M.D,'s practice location on file with NPPES is 3066 Fountainside Dr Ste 102, Germantown, TN 38138-7820.
- What is Richard Alan Ellis M.D,'s phone number?
- The practice phone number listed in the NPPES registry for Richard Alan Ellis M.D, is (901) 755-7335.
- Who is the authorized official for Richard Alan Ellis M.D,?
- The authorized official listed on Richard Alan Ellis M.D,'s NPPES record is Donica Ellis, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Richard Alan Ellis M.D,'s NPI active?
- Yes — Richard Alan Ellis M.D,'s NPI (1033412846) is active in the NPPES registry as of the last update on 2013-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.