DARRYL MCCULLOUGH (NPI# 1043776925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043776925 |
| Entity Type | Individual |
| Full Name | DARRYL MCCULLOUGH |
| Practice Address |
5842 N Dale St Jackson MS 39211-3331 |
| Practice Telephone | 6019060520 |
| Mailing Telephone | 6019060520 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 800490647 | MS | Other Service Providers |
| Street Address |
5842 N DALE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066138 | Sarah Howard | Driver | 5880 Ridgewood Rd Apt H65, Jackson, MS 39211-2628 | 2020-02-28 |
| 1336604453 | Michael G Weston | Driver | 1944 Linda Ln, Jackson, MS 39213-4447 | 2019-02-02 |
| 1902375389 | Laronda Lasha Manuel | Driver | 2240 Tv Rd Apt 4b, Jackson, MS 39209-3586 | 2018-11-15 |
| 1649746017 | Corrina Reyes | Driver | 402 N High St, Jackson, OH 45640-1214 | 2018-10-23 |
| 1265923429 | Transit Express LLC | Driver | 641 N Flag Chapel Rd, Jackson, MS 39209-2204 | 2018-05-23 |
| 1265775803 | Garden of Angels LLC | Driver | 4807 N State St, Ste 406, Jackson, MS 39206-4826 | 2013-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305148 | Jessica Overstreet | Driver | 1147 Pat Luckett Rd, Canton, MS 39046-9102 | 2020-10-27 |
| 1730793688 | Sharon Gaddis | Driver | 3825 Mount Charity Rd, Carthage, MS 39051-8666 | 2020-09-08 |
| 1174160758 | Andrew James Rodgers | Driver | 104 Cherry Bark Way, Pearl, MS 39208-5542 | 2019-12-03 |
| 1023653839 | Frank Stovall | Driver | 716 W Georgetown St, Crystal Springs, MS 39059-2778 | 2019-11-15 |
| 1841835006 | Jessica Hearn Hudson | Driver | 403 Westview Ln, Columbus, MS 39705-8162 | 2019-11-12 |
| 1982252300 | Valarie White | Driver | 1305 N 7th Ave, Laurel, MS 39440-2201 | 2019-08-28 |
| 1548827405 | Sonya Jeaneanne Smith | Driver | 160 Broadway St Apt J4, Clinton, MS 39056-4840 | 2019-05-24 |
| 1225694490 | Daniel Scott Morgan | Driver | 5913 Bay Tree Rd, Ocean Springs, MS 39564-2202 | 2019-05-14 |
| 1952965840 | Labrintary Jackson | Driver | 119 Herman Johnson W, Indianola, MS 38751-3664 | 2019-04-25 |
| 1144787029 | Robert King Walker | Driver | 308 Sally Gray Rd, Waynesboro, MS 39367-8937 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
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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.