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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
20908 | MS | Allopathic & Osteopathic Physicians |
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 |
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 |
Street Address |
415 S 28TH AVE |
City | HATTIESBURG |
State | MS |
Zip Code | 39401-7246 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 39401 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39401 |
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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.