| President | Years | 
|---|---|
| Alva Woods | 1831-1837 | 
| Basil Manly | 1837-1855 | 
| Landon Cabell Garland | 1855-1865 | 
| (Reconstruction) | (1865-1870) | 
| William Russell Smith | 1870-1871 | 
| Matthew F. Maury | 1871 | 
| Nathaniel Thomas Lupton | 1871-1874 | 
| Carlos Green Smith | 1874-1878 | 
| Josiah Gorgas | 1878-1879 | 
| William Stokes Wyman (acting) | 1879-1880 | 
| Burwell Boykin Lewi | 1880-1885 | 
| William Stokes Wyman (acting) | 1885-1886 | 
| Henry DeLamar Clayton | 1886-1889 | 
| William Stokes Wyman (acting) | 1889-1890 | 
| Richard Channing Jones | 1890-1897 | 
| James Knox Powers | 1897-1901 | 
| William Stokes Wyman | 1901-1902 | 
| John William Abercrombie | 1902-1911 | 
| George Hutcheson Denny | 1911-1936 | 
| Richard Clarke Foster | 1937-1941 | 
| George Hutcheson Denny | 1941-1942 | 
| Raymond Ross Paty | 1942-1947 | 
| Ralph E. Adams (acting) | 1947-1948 | 
| John Morin Gallalee | 1948-1953 | 
| Lee Bidgood (acting) | 1953 | 
| Oliver Cromwell Carmichael | 1953-1957 | 
| James H. Newman (acting) | 1957-1958 | 
| Frank Anthony Rose | 1958-1969 | 
| F. David Matthews | 1969-1980 | 
| Richard Ashley Thigpen (acting) | 1975-1977 | 
| Howard B. Gundy (acting) | 1980-1981 | 
| Joab Langston Thomas | 1981-1988 | 
| E. Roger Sayers | 1988-1996 | 
| Andrew A. Sorenson | 1996-2002 | 
| J. Barry Mason (interim) | 2002-2003 | 
| Robert E Witt | 2003-2012 | 
| Judith L. Bonner (interim) | 2012 | 
| Guy Bailey | 2012 | 
| Judith L. Bonner | 2012-2015 | 
| Stuart R. Bell | 2015-present | 
* David Matthews served as U.S. Secretary of Health, Education, and Welfare 1975-1977
Source: The Office of Internal Communications