NPIMap

Individual provider Active NPI

Miles Wayne Ellis, MD

  • Emergency Medicine Physician
  • Phenix City, AL
National Provider Identifier
1871510644
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27642 Issued in AL
Practice address
4401 River Chase Dr
Emergency Dept.
Phenix City, AL 36867-7483
Phone
(334) 732-3000
Fax
(334) 732-3020
NPI assigned
Jul 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27642 AL Primary
Family Medicine Physician 207Q00000X 039782 GA

Addresses

Primary practice location

4401 River Chase Dr
Emergency Dept.
Phenix City, AL 36867-7483

Mailing address

1705 Crest Dr
Columbus, GA 31906-3507
Phone (706) 324-4065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000046 AL Practitioner - Family PracticePractitioner - Emergency Medicine 4183602469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
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)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039782GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Single Specialty CurrentSince Jan 20, 2025 Accepting new patients
Emergency Staffing Solutions Inc Single Specialty CurrentSince Nov 16, 2012 Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Russell County Community Hospital LLC Single Specialty Past Accepting new patients
Sumter Regional Medical Group, PC Single Specialty Past Accepting new patients
Americus & Sumter County Hospital Authority Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Single Specialty Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Single Specialty Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Single Specialty Past Accepting new patients

Locations

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

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

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

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

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Interoperability endpoints

  • Direct secure messaging: miles_ellis__md@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 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871510644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 CREST DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063507",
            "telephone_number": "706-324-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 RIVER CHASE DR",
            "address_2": "EMERGENCY DEPT.",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677483",
            "telephone_number": "334-732-3000",
            "fax_number": "334-732-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MILES",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "27642",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.