DR. DONALD CHARLES CORRELL (MD) – Emergency Medicine Physician, NPI 1013995547

DR. DONALD CHARLES CORRELL (MD) is a healthcare provider. based in Jackson, Tennessee. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. MD17640 (TN). The NPI Number for DR. DONALD CHARLES CORRELL (MD) is 1013995547

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD CHARLES CORRELL (MD)
NPI
1013995547
Phone
(731) 425-6280
Address
PO BOX 3788
Enumeration Date
5 January 2006
Last Update Date
5 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
4078018400
Graduation Year
1981 (45 years ago)
PAC ID
2264424670
Group Practice PAC ID
8224352919
Professional Enrollment ID
I20191209000745
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. DONALD CHARLES CORRELL (MD)

  • Jackson Post Office, South Silverton Street, Jackson, Aiken County, South Carolina, 29831, United States

    JACKSON, TN 383033788

    Phone: (731) 425-6280

    Fax: (731) 425-4922

    Type: Mailing

  • West Forest Avenue, Hicksville, Jackson, Madison County, Tennessee, 38301, United States

    JACKSON, TN 383013901

    Phone: (731) 425-6280

    Fax: (731) 425-4922

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150408002392IEmergency MedicineGATBD
I20191209000745IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224352919View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. DONALD CHARLES CORRELL (MD) in U.S. healthcare records?
The official identifier for DR. DONALD CHARLES CORRELL (MD) is NPI 1013995547.
Is DR. DONALD CHARLES CORRELL (MD) shown as active in public data?
Registry records indicate DR. DONALD CHARLES CORRELL (MD) maintains an active NPI.
What kind of doctor is DR. DONALD CHARLES CORRELL (MD)?
DR. DONALD CHARLES CORRELL (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DONALD CHARLES CORRELL (MD)?
Directory geography for DR. DONALD CHARLES CORRELL (MD) centers on Jackson, Tennessee.
Can I trust this NPI listing for DR. DONALD CHARLES CORRELL (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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