DR. MILES WAYNE ELLIS (MD) – Emergency Medicine Physician, NPI 1871510644

DR. MILES WAYNE ELLIS (MD) is a healthcare provider. based in Phenix city, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 039782 (GA). The NPI Number for DR. MILES WAYNE ELLIS (MD) is 1871510644

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MILES WAYNE ELLIS (MD)
NPI
1871510644
Phone
(334) 732-3000
Address
4401 RIVER CHASE DR
Enumeration Date
16 July 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347323000
Graduation Year
1988 (38 years ago)
PAC ID
4183602469
Group Practice PAC ID
8628980992
Professional Enrollment ID
I20070830000046
Address ID
AL368677483PH4401XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for DR. MILES WAYNE ELLIS (MD)

  • Jack Hughston Memorial Hospital, 4401, River Chase Drive, Phenix City, Russell County, Alabama, 36867, United States

    EMERGENCY DEPT.

    PHENIX CITY, AL 368677483

    Phone: (334) 732-3000

    Fax: (334) 732-3020

    Type: Location

  • 1705, Crest Drive, Martin Luther King JR Boulevard / Havenbrook Court, Avondale, Columbus, Muscogee County, Georgia, 31906, United States

    COLUMBUS, GA 319063507

    Phone: (706) 324-4065

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: KCI USA, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KCI USA, Inc.$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070830000046IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making168156$0
99285Emergency department visit with high level of medical decision making7467$0
99282Emergency department visit with straightforward medical decision making1818$0
99283Emergency department visit with low level of medical decision making1818$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1414$0
View full utilization report →

Insurance plans in this area (ZIP 36867)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628980992View full group profile
NameSpecialtyState
Internal MedicineMD
Emergency Medicine, Family PracticeAR
Neurology, Emergency MedicineLA
Internal MedicineWV
Emergency MedicineMS
Emergency MedicineAL
-LA
Emergency Medicine, Internal MedicineMS
-MS
Internal Medicine, Emergency MedicineAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MILES WAYNE ELLIS (MD)?
DR. MILES WAYNE ELLIS (MD) — NPI 1871510644 — is the standard way to identify this listing.
Is DR. MILES WAYNE ELLIS (MD) still practicing?
DR. MILES WAYNE ELLIS (MD) is currently listed as active in the public NPI registry.
What is DR. MILES WAYNE ELLIS (MD)'s specialty?
The listing groups DR. MILES WAYNE ELLIS (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MILES WAYNE ELLIS (MD) based?
DR. MILES WAYNE ELLIS (MD) is tied to Phenix City, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about DR. MILES WAYNE ELLIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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