Mr Kennon Howard Mccollum, MSN in Stockbridge, GA

Mr Kennon Howard Mccollum, MSN is a medicare enrolled "Nurse Practitioner" in Stockbridge, Georgia. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nsh Cancer Institute Professional Services G Llc and his current practice location is 1045 Southcrest Dr, Suite 200, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 289-0549.

Mr Kennon Howard Mccollum is licensed to practice in Georgia (license number RN102128) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427036409.

Contact Information

	Mr Kennon Howard Mccollum, MSN
	1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113
	(678) 289-0549
	(678) 289-8756

Map and Direction

Provider's Profile

Full Name	Mr Kennon Howard Mccollum
Gender	Male
Speciality	Nurse Practitioner
Experience	22 Years
Location	1045 Southcrest Dr, Stockbridge, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kennon Howard Mccollum graduated from nursing school in 2002

NPI Data:

NPI Number: 1427036409
Provider Enumeration Date: 01/09/2006
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 3971524125
Enrollment ID: I20051215000163

Medical Identifiers

Medical identifiers for Mr Kennon Howard Mccollum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427036409	NPI	-	NPPES
000968745J	Medicaid	GA
000968745K	Medicaid	GA
000968745H	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN102128 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nsh Cancer Institute Professional Services G Llc	0840443164	106

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kennon Howard Mccollum allows following entities to bill medicare on his behalf.

Entity Name	Nsh Cancer Institute Professional Services G Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kennon Howard Mccollum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kennon Howard Mccollum, MSN 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 Ph: (678) 289-0549	Mr Kennon Howard Mccollum, MSN 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 Ph: (678) 289-0549

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213

Mr Kennon Howard Mccollum, MSN - Medicare Nurse Practitioner in Stockbridge, GA