Darrel T Mathis
COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC


Address: 279 Sw Main Blvd, Lake City, FL 32025-7050
Phone: 3867524313

Darrel T Mathis (NPI# 1679571822, PAC ID# 6901073352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

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

Other Locations

Address Phone Organization
279 Sw Main Blvd, Lake City, FL 32025-7050 3867524313 COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
James Russell Fraser Iii Chiropractic Columbia County Chiropractic Center, LLC 279 Sw Main Blvd, Lake City, FL 32025-7050

Office Location

Street Address 279 SW MAIN BLVD
City LAKE CITY
State FL
Zip 32025-7050

Physicians in the same location

Name Specialty Organization Address
James Russell Fraser Iii Chiropractic Columbia County Chiropractic Center, LLC 279 Sw Main Blvd, Lake City, FL 32025-7050

Physicians in the same zip code

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

Competitor

Search similar physicians

City LAKE CITY
Zip Code 32025
Specialty CHIROPRACTIC
City + Specialty LAKE CITY + CHIROPRACTIC

Improve Information

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Dataset Information

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.

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