David B Roy DO PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

21178 Issued in MS

Legal business name

DAVID B ROY DO PA

Doing business as

Pine Belt Dermatology & Skin Cancer Center

Practice address

102 E Hospital Dr
Hattiesburg, MS 39402-1310

Phone

(601) 475-9968

Fax

(601) 475-9969

NPI assigned

Aug 19, 2014

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charity Ellington

Title

Credentialing Supervisor

Phone

(601) 475-9968

Specialties & licenses 2

Addresses

Other names 1

• Pine Belt Dermatology & Skin Cancer Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Patterson Kindel, FNP

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1265003792
  Medicare reassignment Care Compare group NPD
• Raven Miller

  • Family Nurse Practitioner
  • Petal, MS
  • NPI 1578190443
  Medicare reassignment Care Compare group NPD
• Nicole Jones Moore, NP

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1245890144
  Medicare reassignment Care Compare group NPD
• David Bernard Roy, D.O.

  • MOHS-Micrographic Surgery Physician
  • Petal, MS
  • NPI 1801097019
  Medicare reassignment Care Compare group NPD
• Marisa D Stringer, NP-C

  • Dermatology Physician
  • Biloxi, MS
  • NPI 1043327034
  Medicare reassignment Care Compare group NPD
• Eugene Conte, DO

  • Dermatology Physician
  • Centerville, OH
  • NPI 1316056567

  MS

  Medicare reassignment Care Compare group NPD
• Lauren Ackerman, PA

  • Physician Assistant
  • Hattiesburg, MS
  • NPI 1598501504
  Medicare reassignment Care Compare group
• Lauren S Aycock, FNP

  • Family Nurse Practitioner
  • Laurel, MS
  • NPI 1821362385
  Medicare reassignment Care Compare group
• Hannah Long Price, PA-C

  • Physician Assistant
  • Petal, MS
  • NPI 1407354277
  Medicare reassignment Care Compare group
• Kristen Richardson, P.A.-C

  • Physician Assistant
  • Flowood, MS
  • NPI 1043634702
  Medicare reassignment Care Compare group
• Eric Carl Torp, M.D.

  • Dermatology Physician
  • Ocean Springs, MS
  • NPI 1841300175
  Medicare reassignment NPD
• Lisa Renee Chastant, M.D.

  • MOHS-Micrographic Surgery Physician
  • Easton, PA
  • NPI 1144545195

  MS

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1194124834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E HOSPITAL DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021310",
            "telephone_number": "601-475-9968",
            "fax_number": "601-475-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HOSPITAL DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021310",
            "telephone_number": "601-475-9968",
            "fax_number": "601-475-9969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Highway 29 N",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MS",
            "postal_code": "394378763",
            "country_code": "US",
            "telephone_number": "601-800-9020",
            "fax_number": "601-800-9262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394652362",
            "country_code": "US",
            "telephone_number": "318-884-9706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Tommy Munro Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395322100",
            "country_code": "US",
            "telephone_number": "228-232-0872",
            "fax_number": "228-232-0874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID B ROY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "601-475-9968"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MS",
            "license": "21178",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Belt Dermatology & Skin Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Chambers Darby, M.D.
• Evan Henry Dart, PH.D.
• Mehjabeen Darugar, MD
• Geralyn Datz, PHD
• Patrick D Dauphin, MD
• David M. Perez, DMD, P.C.
• Susan K Davidson, MS, LMFT
• Shannon Davis Sims
• Allyson Davis
• Angela Anita Davis, MSN, RN

• MOHS-Micrographic Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• MOHS-Micrographic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.