| 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 | 2015-2025 |
| Peter Mohler | 2025-present |
* David Matthews served as U.S. Secretary of Health, Education, and Welfare 1975-1977
Source: The Office of Internal Communications