Darrel T Mathis (NPI# 1679571822, PAC ID# 6901073352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1679571822 |
| PAC ID by PECOS | 6901073352 |
| Professional Enrollment ID | I20120125000668 |
| Full Name | Darrel T Mathis |
| Organization Legal Name | COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC |
| Address |
279 Sw Main Blvd Lake City FL 32025-7050 |
| Phone Number | 3867524313 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1985 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1456637479 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 279 Sw Main Blvd, Lake City, FL 32025-7050 | 3867524313 | COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Organization Legal Name | COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Russell Fraser Iii | Chiropractic | Columbia County Chiropractic Center, LLC | 279 Sw Main Blvd, Lake City, FL 32025-7050 |
| Street Address |
279 SW MAIN BLVD |
| City | LAKE CITY |
| State | FL |
| Zip | 32025-7050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Russell Fraser Iii | Chiropractic | Columbia County Chiropractic Center, LLC | 279 Sw Main Blvd, Lake City, FL 32025-7050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly C Herring | Clinical Social Worker | 871 Sw State Rd, Suite 47, Lake City, FL 32025-0433 | |
| Charles M Varghese | Cardiovascular Disease (cardiology) | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | |
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Vijay M. Patel | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 495 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Donald Brent Hayden | General Practice | 733 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Eric Marquez | Obstetrics/gynecology | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Find all physicians in zip 32025 | |||
| City | LAKE CITY |
| Zip Code | 32025 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LAKE CITY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Darrel T Mathis.
| 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.