DAVID B ROY DO PA
NPI 1194124834
Dermatology - MOHS-Micrographic Surgery in Petal, MS

Active since August 19, 2014
201 S MAIN ST, PETAL, MS 39465(318) 884-9706 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David B Roy Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID B ROY DO PA (NPI 1194124834), doing business as Pine Belt Dermatology & Skin Cancer Center, is a healthcare organization registered as a mohs-micrographic surgery in Petal, Mississippi and active in the NPI registry since August 2014. The organization lists David Bernard Roy, Doctor, as its authorized official.

NPPES Registry Identity

NPI1194124834
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDAVID B ROY DO PA
Location Address201 S MAIN STPetal, MS 39465-2362
Mailing Address102 E Hospital DrHattiesburg, MS 39402-1310 · (601) 475-9968 · Fax (601) 475-9969
Organization SubpartNo
Authorized OfficialDavid Bernard RoyDoctor · (601) 475-9968
Enumeration DateAugust 19, 2014
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1194124834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in MS · 21178
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
201 S MAIN ST, Petal, MS 39465

Other Names 1

Doing Business AsPine Belt Dermatology & Skin Cancer Center

Other Identifiers 3

Medicaid09537875MS
Other1194124834MS · Group Npi
Other595626050MS · Bc/bs Of Ms

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
201 S MAIN ST
PETAL, MS 39465
Dermatology (MOHS-Micrographic Surgery)
201 S MAIN ST
PETAL, MS 39465
Nurse Practitioner (Family)
201 S MAIN ST
PETAL, MS 39465
Dermatology (MOHS-Micrographic Surgery)
201 S MAIN ST
PETAL, MS 39465

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David B Roy Do PA's NPI number?

The NPI number for David B Roy Do PA is 1194124834. It was assigned to this organization in the NPPES registry on August 19, 2014. The provider is doing business as Pine Belt Dermatology & Skin Cancer Center.

Where is David B Roy Do PA located?

David B Roy Do PA is located at 201 S Main St, Petal, MS 39465. The listed phone number is (318) 884-9706.

What is David B Roy Do PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

What insurance does David B Roy Do PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list David B Roy Do PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David B Roy Do PA was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.