Charles R Mccollum (NPI# 1043418692, PAC ID# 4385899384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1043418692 |
| PAC ID by PECOS | 4385899384 |
| Professional Enrollment ID | I20130222000471 |
| Full Name | Charles R Mccollum |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Address |
6051 U S Hwy 49 Forrest General Hospital Hattiesburg MS 39401-7200 |
| Phone Number | 6012646000 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 5193706794 |
| Number of Group Practice Members | 463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250078 | FORREST GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 502 Broad St, Columbia, MS 39429-3037 | 6017368282 | HATTIESBURG CLINIC PA |
| 415 S 28th Ave, Hattiesburg, MS 39401-7246 | HATTIESBURG CLINIC PA | |
| 415 S 28th Ave Fl, Hattiesburg, MS 39401-7246 | 6012646000 | HATTIESBURG CLINIC PA |
| 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 | 6012646000 | HATTIESBURG CLINIC PA |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Physicians | 430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandie Delane Bennett | Physical Therapy | Hattiesburg Clinic Pa | 1238 Hwy 42, Sumrall, MS 39482-9519 |
| Kabeer Burman | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Neurosurgery, Hattiesburg, MS 39401-7246 |
| James G Powell | Endocrinology | Hattiesburg Clinic Pa | 421 S 28th Ave, Hattiesburg, MS 39401-7206 |
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Rebecca W Lauderdale | Internal Medicine | Hattiesburg Clinic Pa | 7 Medical Blvd, Hattiesburg, MS 39401-7231 |
| Philip B Mellen | Internal Medicine | Hattiesburg Clinic Pa | 10 Medical Blvd, Hattiesburg, MS 39401-7230 |
| Ralph C Kahler | Internal Medicine | Hattiesburg Clinic Pa | 415 S 28th Ave Fl, Hattiesburg, MS 39401-7246 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Mohammad Ik Anindo | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Victor Polito | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Street Address |
6051 U S HWY 49 FORREST GENERAL HOSPITAL |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-7200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| William Duncan Donald Iii | General Surgery | Fgh Trauma Surgery Clinic | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Victor Polito | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Lauren Marie Worley | Physician Assistant | Comprehensive Radiology Services, Pllc | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jeffrey Hudson | Obstetrics/gynecology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Joshua A Maksi | Neurology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Billy C Chancellor | Nurse Practitioner | Fgh Physician Billing | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Porter Hudson Glover | Gastroenterology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Bassam K Mechleb | Cardiovascular Disease (cardiology) | Forrest County General Hospital | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jeremy Alan Vance | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Sandra G Russell | Nurse Practitioner | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | HATTIESBURG + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Charles R Mccollum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.