Individual provider · NPI-1

Daryl Ellis, MD

Family Medicine · Phenix City, AL

NPI number1467468355
StatusActive
Last updated in NPPESJul 16, 2026

Details

NPI
1467468355
Entity type
Individual (NPI-1)
Name
Daryl Ellis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2006
Certification date
Jul 16, 2026
Last updated
Jul 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine00018084ALYes
207Q00000X Family Medicine38747GA

Practice location

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

Phone 334-448-9505 · Fax 334-448-9575

Mailing address

5009 Riverchase Dr
Suite 500
Phenix City, AL 36867-7490

Phone 334-448-9505 · Fax 334-448-9575

Other practice locations

710 Center St
Columbus, GA 31901-1527

Phone 334-732-2200

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