Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RANDALL E ELLIS M.D.
NPI 1396784138
Emergency Medicine in Clarksville, TN

Q: What is Randall Ellis's NPI number?

The NPI number for Randall Ellis is 1396784138. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Randall Ellis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Ellis was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2006PECOS Enrolled

2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040(931) 645-1564(931) 645-3842 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Randall E Ellis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL E ELLIS M.D. (NPI 1396784138) is an individual emergency medicine provider in Clarksville, Tennessee, licensed in Tennessee (MD27444) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1989).

NPPES Registry Identity

NPI1396784138

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. RANDALL E ELLISCredential: M.D.

Location Address2320 WILMA RUDOLPH BLVDClarksville, TN 37040-5821

Mailing Address2320 Wilma Rudolph BlvdClarksville, TN 37040-5821 · (931) 645-1564 · Fax (931) 645-3842

Phone(931) 645-1564

Fax(931) 645-3842

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 1989

Enumeration DateJune 6, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1396784138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · MD27444

Definition

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 response to acute illness and injury.

2320 WILMA RUDOLPH BLVD, Clarksville, TN 37040

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Other Identifiers 1

Other4041098TN · Bluecross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall E Ellis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779476403

PECOS Enrollment IDI20221219002921

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

96 services82 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARKSVILLE IMAGING CENTER LLC

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