NPIMap

Individual provider Active NPI

Daryl Ellis, MD

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1467468355
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00018084 Issued in AL
Practice address
5009 River Chase Dr
Suite 500
Phenix City, AL 36867-7425
Phone
(334) 448-9505
Fax
(334) 448-9575
NPI assigned
Jul 31, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00018084 AL Primary
Family Medicine Physician 207Q00000X 38747 GA

Addresses

Primary practice location

5009 River Chase Dr
Suite 500
Phenix City, AL 36867-7425

Mailing address

5009 Riverchase Dr
Suite 500
Phenix City, AL 36867-7490
Phone (334) 448-9505

Other practice location 1

710 Center St
Columbus, GA 31901-1527
Phone (334) 732-2200

Other identifiers 1

IdentifierTypeStateIssuer
009997735MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040419000319 GA Practitioner - Family Practice 8426043076 Reassigns benefits to 3 organizations
I20040621000093 AL Practitioner - Family PracticePractitioner - Physical Medicine and RehabilitationPractitioner - Preventive MedicinePractitioner - Addiction Medicine 8426043076 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Physical Medicine and Rehabilitation, Preventive Medicine
Education
University of California, San Diego School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

1810 Stadium Dr
Suite 240
Phenix City, AL 36867-3179
Phone (334) 291-8303

4401 Riverchase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3000

5009 Riverchase Dr
Suite 500
Phenix City, AL 36867-7490
Phone (334) 448-9505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00018084ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Apr 1, 2020 Accepting new patients
New Horizons Area MH Mr Sa Program CurrentSince Nov 14, 2009 Accepting new patients
Correct Care, Inc. CurrentSince Jan 21, 2025 Accepting new patients
Nes Tennessee Inc Current Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Dec 15, 2012 Accepting new patients
Nes Tennessee Inc CurrentSince Apr 1, 2020 Accepting new patients
Russell County Community Hospital LLC Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: dellis@yourcarecommunity.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1467468355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DR",
            "address_2": "SUITE 500",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677490",
            "telephone_number": "334-448-9505",
            "fax_number": "334-448-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVER CHASE DR",
            "address_2": "SUITE 500",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677425",
            "telephone_number": "334-448-9505",
            "fax_number": "334-448-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Center St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319011527",
            "country_code": "US",
            "telephone_number": "334-732-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DARYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00018084",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "38747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009997735",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.