DR. GLENN THOMAS ELLIS PHD
NPI 1184712820
Psychologist in Columbus, MS
About Dr. Glenn Thomas Ellis Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLENN THOMAS ELLIS PHD (NPI 1184712820) is an individual psychologist in Columbus, Mississippi, licensed in Mississippi (105) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1970).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Glenn Thomas Ellis Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Glenn Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Starkville, MS 39759
- Reassigned Medicare billing, Mississippi enrollment
- 4 clinicians in this Medicare group
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 60 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Glenn Ellis's NPI number?
The NPI number for Glenn Ellis is 1184712820. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Glenn Ellis located?
Glenn Ellis practices at 815 2nd Ave No, Columbus, MS 39701. The listed phone number is (662) 327-7388.
What is Glenn Ellis's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Glenn Ellis enrolled in Medicare?
Yes. Glenn Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Glenn Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Ellis reassigns Medicare benefits to 3 organizations: State Of Mind Psychiatry, LLC (Starkville, MS), Right Track Medical Group, Inc (Oxford, MS) and Precise Clinical Neuroscience Specialists (Flowood, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glenn Ellis accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Glenn Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Glenn Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.