Deactivated NPI 1891708541 Deactivated / Inactive NPI Male Practitioner

Dr. Ellis Wayne Evans , MD

Surgery • Macon, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ellis Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 14, 2006

NPI Deactivation Date September 11, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ellis Evans, MD was a registered Surgery practicing in Macon, GA. Throughout an active medical career spanning 19 years, Dr. Evans provided care at the practice location at 770 PINE STREET until profile deactivation on 2025-09-11.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, removal of thyroid. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

770 Pine Street
Suite 220

Macon, GA 31201

Telephone 4787461396

Fax 4787461997

Associated Practice Facility / Clinic

🏢 Central Georgia Gynecology Llc Facility NPI 1407015365

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Macon, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.2 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

60 Specialists

Practicing in Macon, GA (1046 Statewide)

Telehealth Adoption Rate

3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$326.00	$156.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$326.00	$156.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$326.00	$155.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$230.00	$100.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$326.00	$162.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$184.00	$124.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$326.00	$159.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$230.00	$103.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$326.00	$155.83
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$124.00	$69.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$184.00	$104.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$230.00	$104.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$326.00	$151.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$230.00	$103.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$184.00	$102.92
60240 Removal of thyroid	11	11	$4238.00	$909.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$326.00	$153.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$230.00	$102.46
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$124.00	$69.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$184.00	$101.96
60240 Removal of thyroid	14	14	$4238.00	$844.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$4101.00	$705.74

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 013745

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Mark Barrow , MD

Radiology - Diagnostic Radiology

NPI 1134101199

Doctor of Medicine (M.D.)

Dr. Gerald Tarirah , MD

Internal Medicine - Pulmonary Disease

NPI 1851313431

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated September 11, 2025

Record deactivated on September 11, 2025

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 770 PINE STREET, SUITE 220, MACON, GA 31201 (Tel: 4787461396)

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Updated Business Mailing Address July 08, 2007

Registered at 770 PINE STREET, SUITE 220, MACON, GA 31201 (Tel: 4787461396)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ELLIS EVANS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #013745 in GA)

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Initial NPI Registration & Enumeration August 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891708541

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 14, 2006

Last Update: July 08, 2007

Deactivation Date: September 11, 2025

Update or Correct Profile

Mailing Address

770 Pine Street, Suite 220

Macon, GA 31201

Phone: 4787461396

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.