David L Mckellar (NPI# 1700947579, PAC ID# 7911932454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1700947579 |
| PAC ID by PECOS | 7911932454 |
| Professional Enrollment ID | I20110127000584 |
| Full Name | David L Mckellar |
| Organization Legal Name | PAIN CONSULTANTS OF SOUTH MISSISSIPPI PA |
| Address |
106 Asbury Cir Hattiesburg MS 39402-1302 |
| Phone Number | 6012646283 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1986 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 8628015369 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250094 | MERIT HEALTH WESLEY |
| 250078 | FORREST GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 6012646283 | PAIN CONSULTANTS OF SOUTH MISSISSIPPI PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 1% |
| Organization Legal Name | PAIN CONSULTANTS OF SOUTH MISSISSIPPI PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Nick Leigh | Pain Management | Pain Consultants of South Mississippi Pa | 106 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Crystal Nichole Wallace | Nurse Practitioner | Pain Consultants of South Mississippi Pa | 106 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Gaynell Galt Martin | Nurse Practitioner | Pain Consultants of South Mississippi Pa | 106 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Street Address |
106 ASBURY CIR |
| City | HATTIESBURG |
| State | MS |
| Zip | 39402-1302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Nick Leigh | Pain Management | Pain Consultants of South Mississippi Pa | 106 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Crystal Nichole Wallace | Nurse Practitioner | Pain Consultants of South Mississippi Pa | 106 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Gaynell Galt Martin | Nurse Practitioner | Pain Consultants of South Mississippi Pa | 106 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Cochran | Physical Therapy | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 | |
| Paul E Zeagler | Physical Therapy | Hattieburg Physical Therapy Center | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 |
| Jennifer Stewart | Physical Therapy | Drayer Physical Therapy Institute LLC | 6134 Hwy 98 W, Hattiesburg, MS 39402 |
| Paul M Rocconi | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 5000 W 4th St, Hattiesburg, MS 39402-1000 |
| Volney E Pierce Jr. | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Delia A Smith | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Barbara J Proctor | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Brenda Jordan | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Lynda I Gentchev | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Donald H Gale | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Find all physicians in zip 39402 | |||
| City | HATTIESBURG |
| Zip Code | 39402 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | HATTIESBURG + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on David L Mckellar.
| 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.