Daniel Marshall McClung Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

31555 Issued in MS

Practice address

1307 Aston Ave
McComb, MS 39648-2898

Phone

(601) 684-8118

NPI assigned

Mar 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Specialists of Mississippi, PLLCGroup PAC ID 8820370133, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcclung@rsm.intellechartdirect.net
• Direct secure messaging: dmcclung5289427@direct.casso.us.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Retina Specialists of Mississippi, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Hattiesburg, MS
  • NPI 1588109821
  Medicare reassignment Care Compare group NPD
• Kebert Eye Clinic PLLC

  • Optician
  • McComb, MS
  • NPI 1003098898
  NPD
• Sunil Gupta MD LLC

  • Ophthalmology Physician
  • Pensacola, FL
  • NPI 1588610075
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1952936908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 CAROLWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482898",
            "telephone_number": "601-684-8118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Millsaps Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021587",
            "country_code": "US",
            "telephone_number": "601-255-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "DANIEL",
        "middle_name": "MARSHALL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "31555",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-4076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin May
• Kenya Mayberry
• Therese McBeth
• Amy Diane McCaa, L.P.T.A.
• Katrina M McClendon
• McComb Anesthesia Associates, LLP
• McComb Children'S Clinic, LTD
• McComb Emergency Group LLC
• McComb Healthcare LLC
• McComb Neurology, PA

• Ophthalmology Physician in McComb, MS
• Providers in McComb, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.