DR. CHARLES RAMSEY MCCOLLUM III


Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: 6012685650

DR. CHARLES RAMSEY MCCOLLUM III (NPI# 1043418692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043418692
Entity Type Individual
Full Name DR. CHARLES RAMSEY MCCOLLUM III
Credential M.D.
Practice Address 415 S 28th Ave
Hattiesburg
MS 39401-7246
Practice Telephone 6012685650
Practice Fax Number 6015795212
Mailing Telephone 6012685650
Mailing Fax Number 6015795240
Enumeration Date 2007-07-05
Last Update Date 2020-07-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
20908 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS UNITED HEALTHCARE 3554163 01
MS AETNA 4225057 01
MS CIGNA 6010038 01
MS 08758585 05
MS HEALTHSPRINGS 6092134 01

Other Providers CHARLES MCCOLLUM

NPI Name Taxonomy Address Enumeration
1902915671 Charles E Mccollum Optometrist 1302 Enterprise Way, Marion, IL 62959 2006-08-29
1841222825 Charles Joseph Mccollum Pharmacist 1312 Manatee Ave East, Bradenton, FL 34208 2006-07-07
1467419960 Charles J. Mccollum Anesthesiology 1201 7th St Se, Decatur, AL 35601-3337 2006-04-27
1225091689 Charles Holmes Mccollum IIi Surgery 6565 Fannin St, Department of Internal Medicine, Houston, TX 77030-2707 2006-04-07

Office Location

Street Address 415 S 28TH AVE
City HATTIESBURG
State MS
Zip Code 39401-7246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225030372 Norman Blake Moore Jr. Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2005-06-01
1457950842 Tyler Griffin Armstrong Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-10-19
1538776679 Hattiesburg Clinic, Pa Clinic/Center 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-09-23
1205446804 Robert Price Ledbetter Perfusionist 415 S 28th Ave, Hattiesburg, MS 39401-7246 2020-08-07
1972143626 Jarrod Edward Gant Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7283 2020-01-10
1720625841 Corey Lyle Gambrell Nurse Anesthetist, Certified Registered 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-12-09
1447802103 Heather Pritchett Bassi Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-07-12
1891357588 Dylan Winston Boyd Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-07-02
1578124186 Casie Barnes Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7246 2019-06-25
1992364491 Stacy Louise Neames Nurse Practitioner 415 S 28th Ave, Hattiesburg, MS 39401-7283 2019-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598315863 Lisa Thornton Technician 18 Timberline Dr., Hattiesburg, MS 39401 2019-09-18
1548813637 Caroline Estes Barnes Counselor Barnes, 8 App Slade Road, Hattiesburg, MS 39401 2019-07-18
1396252441 Selection Healthcare Services, LLC In Home Supportive Care 606 Adeline St Ste 1c, Hattiesburg, MS 39401 2018-01-10
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
1740795806 Forrest General Hospital Pharmacy 1414 South 28th Avenue, Hattiesburg, MS 39401 2017-12-11
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1043671704 The Covington's Cove Assisted Living Center LLC Assisted Living Facility 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 2016-03-09
1780083626 Dominique Reed Watson Pharmacist 602 Adeline St, Hattiesburg, MS 39401 2014-08-15
1558778936 Willie Davis Jr. Day Training, Developmentally Disabled Services 701 Duke Ave., Hattiesbiurg, MS 39401 2014-07-17
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619018983 Walid Gergi Younis Internal Medicine 415 S 28th Ave, Hattiesburg, MS 39401-7246 2007-02-09
1346321296 Hattiesburg Clinic Pa Internal Medicine 415 S 28th Ave, Hattiesburg, MS 39401-7246 2006-10-18
1760588446 Andrew H. Rogness Internal Medicine 415 S 28th Ave, Hattiesburg, MS 39401-7246 2006-09-16
1558479998 Charles J Parkman Jr. Internal Medicine 415 S 28th Ave, Hattiesburg, MS 39401-7246 2006-08-27
1841305950 Lewis W Neese Internal Medicine 415 S 28th Ave, Hattiesburg, MS 39401-7246 2006-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134393473 Yadana Kyaw Internal Medicine 401 Southcrest Cir Ste 212, Southaven, MS 38671 2008-04-17
1447450622 Jennifer R Gardner Internal Medicine 2301 South Lamar, Suite 100, Oxford, MS 38655 2007-07-25
1689870479 George H Kotti IIi Internal Medicine 301 Fisher St Ste 1f-130, Keesler Afb, MS 39534-2508 2007-06-27
1730306192 J. L. Miles,do Sleep Lab Internal Medicine 2705 Hwy 90, Ocean Springs, MS 39564 2007-04-19
1205050408 J. L. Miles, Do Sleep Lab Internal Medicine 779 Jackson St, Biloxi, MS 39530-4231 2007-04-12
1770706863 Felix Morris M.d., LLC Internal Medicine 1777 Curtis Drive, Iuka, MS 38852 2007-04-10
1508914102 Oxford Lung Physicians, P.a. Internal Medicine 2301 S Lamar Blvd Ste 100, 2301 S Lamar Blvd Ste 100, Oxford, MS 38655-5373 2007-01-08
1760564660 William Thomas Williams Jr. Internal Medicine 1200 N State St Ste 500, Jackson, MS 39202-2027 2006-10-19
1447357652 Gulf Coast Lung and Sleep Medicine Institute, LLC Internal Medicine 16120 Landon Rd, Suite B, Gulfport, MS 39503-6119 2006-09-20
1053414326 Jeffrey Neal Evans Internal Medicine 2301 South Lamar Blvd Suite 100, 2301 South Lamar Blvd Suite 100, Oxford, MS 38655-0768 2006-09-05
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Competitor

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City HATTIESBURG
Zip Code 39401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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