Daryl A Ellis (NPI# 1467468355, PAC ID# 8426043076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1467468355 |
PAC ID by PECOS | 8426043076 |
Professional Enrollment ID | I20040621000093 |
Full Name | Daryl A Ellis |
Organization Legal Name | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
Address |
1810 Stadium Dr Suite 240 Phenix City AL 36867-3179 |
Phone Number | 3342918303 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
Graduation Year | 1990 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | ADDICTION MEDICINE, PHYSICAL MEDICINE AND REHABILITATION, PREVENTATIVE MEDICINE |
Group Practice PAC ID | 1355244385 |
Number of Group Practice Members | 85 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010168 | JACK HUGHSTON MEMORIAL HOSPITAL |
110064 | MIDTOWN MEDICAL CENTER |
110129 | ST FRANCIS HOSPITAL |
010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
Address | Phone | Organization |
---|---|---|
1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 | 3342918303 | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
4401 River Chase Dr, Phenix City, AL 36867-7483 | 3347323000 | MOON LAKE EMERGENCY PHYSICIANS LLC |
5009 Riverchase Dr, Suite 500, Phenix City, AL 36867-7490 | 3344489505 | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 86% | |
MIPS_EC_047_overall | Care Plan | 86% | |
MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 1% | |
MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 1% |
Organization Legal Name | COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. |
Physicians | 98 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Franklin Rains | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 |
Meagan Elizabeth Mahoney | General Surgery | Columbus Ambulatory Healthcare Services, Inc. | 920 18th St, Columbus, GA 31901-1524 |
Joshua Samraj | Internal Medicine | Columbus Ambulatory Healthcare Services, Inc. | 2737 Warm Springs Rd, Suite B and C, Columbus, GA 31904-5328 |
Juanita Jones | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 5009 Riverchase Dr, Suite 500, Phenix City, AL 36867-7490 |
Sheena Sweeney | Family Medicine | Columbus Ambulatory Healthcare Services, Inc. | 7830 Veterans Pkwy H, Columbus, GA 31909-4973 |
Karen Secor | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 39 Oak Hill Ct, Bldg C, Newnan, GA 30265-2392 |
Lauren M Villegas | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 1800 10th Ave, Columbus, GA 31901-1529 |
Tara Newman Smith | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 705 17th St, Columbus, GA 31901-3504 |
Jessi L Hale | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 6801 River Rd, Suite 101, Columbus, GA 31904-3353 |
Brooke D Bozek | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 707 Ctr St, Columbus, GA 31901-1575 |
Street Address |
1810 STADIUM DR SUITE 240 |
City | PHENIX CITY |
State | AL |
Zip | 36867-3179 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Franklin Rains | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 |
Caitlyn A Beals | Physician Assistant | Columbus Ambulatory Healthcare Services, Inc. | 1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 |
Kristen B Osterrieder | Physician Assistant | East Alabama Endocrinology, P.C. | 1810 Stadium Dr, Suite 210, Phenix City, AL 36867-3179 |
Elizabeth B Robinson | General Surgery | 1810 Stadium Dr, Suite 130, Phenix City, AL 36867-3178 | |
Kimberly A Funches Jackson | Family Medicine | 1810 Stadium Dr, Suite 210, Phenix City, AL 36867-3179 | |
James F Zumstein | Family Medicine | 1810 Stadium Dr, Suite 230, Phenix City, AL 36867-3179 | |
Rebekah Washington Simmons | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 |
Karin W Baker | Physical Medicine and Rehabilitation | 1810 Stadium Dr, Phenix City, AL 36867-3177 | |
Dennis K Harden | Family Medicine | Columbus Ambulatory Healthcare Services, Inc. | 1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 |
Gary Amon Dillard | Family Practice | Chattahoochee Valley Family | 1810 Stadium Dr, Suite 240, Phenix City, AL 36867-3179 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly Honsinger Nilsson | Optometry | 2011 Hwy 280 Bypass, Phenix City, AL 36867 | |
Gary J Keogh | Physical Medicine and Rehabilitation | 3715 Hwy 280/431 N, Phoneix City, AL 36867 | |
Michael J Redus | Optometry | 2011 Hwy 280 Bypass, Phenix City, AL 36867 | |
Robert M Cargile Iii | Diagnostic Radiology | Bridgeway Diagnostic Radiology, LLC | 5007 Summerville Rd, Phenix City, AL 36867-1559 |
Kelli Anne Chambers | Physician Assistant | Phenix City Joint and Rehab LLC | 3700 S Railroad St, Suite D, Phenix City, AL 36867-2994 |
Alexa Jones | Physician Assistant | Pinnacle Enterprises PC | 3700 S Railroad St A, Phenix City, AL 36867-2994 |
Amanda Uzzell | Physician Assistant | Pinnacle Enterprises PC | 3700 S Railroad St A, Phenix City, AL 36867-2994 |
Stephen B Cooper Sr. | Chiropractic | Phenix City Spine and Joint Ctr. | 3700 S Railroad St, Suite B, Phenix City, AL 36867-2994 |
Sean Edward Lauraitis | Chiropractic | Phenix City Spine and Joint Ctr. | 3700 S Railroad St, Suite B, Phenix City, AL 36867-2994 |
Richard Ray Cunningham | Geriatric Medicine | Phenix City Joint and Rehab LLC | 3700 S Railroad St, Suite D, Phenix City, AL 36867-2994 |
Find all physicians in zip 36867 |
City | PHENIX CITY |
Zip Code | 36867 |
Specialty | FAMILY MEDICINE |
City + Specialty | PHENIX CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daryl A Ellis.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.