DAVID B ROY DO PA
NPI 1194124834
Dermatology - MOHS-Micrographic Surgery in Hattiesburg, MS
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 Hattiesburg, Mississippi and active in the NPI registry since August 2014. The organization maintains 3 additional practice locations and lists Charity Ellington, Credentialing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David B Roy Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to David B Roy Do PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 102 E Hospital Dr, Hattiesburg, MS 39402. The listed phone number is (601) 475-9968.
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.
Is David B Roy Do PA enrolled in Medicare?
Yes. David B Roy Do PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David B Roy Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to David B Roy Do PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Dermatology (6). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does David B Roy Do PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# David B Roy Do Pa · NPI 1194124834
MOHS-Micrographic Surgery organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since August 19, 2014.
## Identity
- **NPI:** 1194124834 (Entity type: Organization)
- **Enumerated:** August 19, 2014
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Also known as:** Pine Belt Dermatology & Skin Cancer Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Charity Ellington, CREDENTIALING SUPERVISOR
## Practice location
- **Address:** 102 E HOSPITAL DR, Hattiesburg, MS 39402-1310
- **Phone:** (601) 475-9968 · **Fax:** (601) 475-9969
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Dermatology (6); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2026
- **Other identifiers:** Medicaid 09537875 (MS); Other 595626050 (MS); Other 1194124834 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1194124834) · Data from the CMS NPPES public registry.