Individual provider Active NPI

Chris Romale Collins, M.D.

  • Neurology Physician
  • Kenner, LA
National Provider Identifier
1114362613
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
309584 Issued in LA
Practice address
200 W Esplanade Ave Ste 210
Kenner, LA 70065
Phone
(504) 464-8588
NPI assigned
May 10, 2013
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 35.147040 OH
Neurology Physician 2084N0400X ME160286 FL
Neurology Physician 2084N0400X MD473996 PA
Neurology Physician 2084N0400X U5665 TX
Neurology Physician 2084N0400X 309584 LA Primary

Addresses

Primary practice location

200 W Esplanade Ave Ste 210
Kenner, LA 70065

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

910 Madison Ave Ste 1031
Memphis, TN 38103-3403
Phone (901) 448-5814

Other practice location 2

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 3

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 4

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ccollins871404@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC, GA, OR, MI, OH, NJ7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20211215002238 PA Practitioner - Neurology 7416196639 Reassigns benefits to 6 organizations
I20230221002498 SC Practitioner - Neurology 7416196639
I20230330003055 GA Practitioner - Neurology 7416196639 Reassigns benefits to 3 organizations
I20230905001867 OR Practitioner - Neurology 7416196639 Reassigns benefits to 2 organizations
I20230914000797 MI Practitioner - Neurology 7416196639 Reassigns benefits to 1 organization
I20240221000312 OH Practitioner - Neurology 7416196639 Reassigns benefits to 2 organizations
I20240920002767 NJ Practitioner - Neurology 7416196639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gni Neuroservices, LLCGroup PAC ID 7416277702, 25 clinicians

Practice addresses (Care Compare)

1205 Langhorne Newtown Rd
Suite 211
Langhorne, PA 19047-1221
Phone (844) 464-6387

1925 Pacific Ave
FL 1
Atlantic City, NJ 08401-6713
Phone (844) 464-6387

7 S Ohio Ave
Atlantic City, NJ 08401-6711
Phone (844) 464-6387

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME160286FLMDNeurology Physician
309584LAMDNeurology Physician
U5665TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2022 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 1, 2022 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Silverton Health Family Medicine CurrentSince Jan 11, 2024 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Somc Medical Care Foundation, Inc. Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 15, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince May 15, 2023 Accepting new patients
Geisinger Clinic CurrentSince Nov 7, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 15, 2023 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince May 15, 2023 Accepting new patients
The Milton S Hershey Medical Center Physician Group Neurology CurrentSince Aug 1, 2022 Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Jan 6, 2024 Accepting new patients
Upson County Hospital Inc Neurology CurrentSince Apr 1, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Upson County Hospital Inc Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Legacy Clinics LLC CurrentSince Aug 21, 2023 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Nov 7, 2023 Accepting new patients
Gni Neuroservices LLC CurrentSince Aug 1, 2024 Accepting new patients
Silverton Health Family Medicine CurrentSince Jan 11, 2024 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Dec 6, 2021 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Virtual Neurology New Jersey LLC Neurology CurrentSince Feb 25, 2024 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Global Neurosciences Institute LLC Neurology PastSince Mar 20, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations (25 of 42)

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

7 S Ohio Ave
Atlantic City, NJ 08401
Phone (609) 441-8074

106 Court House South Dennis Rd
Ste 200
Cape May Court House, NJ 08210
Phone (609) 407-2332

517 Route 72 W
Ste A
Manahawkin, NJ 08050
Phone (609) 597-3010

150 Century Pkwy
Mount Laurel, NJ 08054
Phone (609) 642-4202

150 Century Pkwy
Ste 104
Mount Laurel, NJ 08054

10 Route 31 N
Pennington, NJ 08534
Phone (609) 890-4450

10 Route 31 N
Ste 102
Pennington, NJ 08534
Phone (609) 818-1000

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1711 27th St
Ste 103A
Portsmouth, OH 45662
Phone (740) 356-6740

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

Interoperability endpoints

  • Direct secure messaging: ccollins2020654@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJDCD

Organizations & group practices 34

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

View all 34

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1114362613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE STE 210",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-464-8588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Madison Ave Ste 1031",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033403",
            "country_code": "US",
            "telephone_number": "901-448-5814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11215 Metro Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHRIS",
        "middle_name": "ROMALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.147040",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME160286",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD473996",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U5665",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "309584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccollins871404@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.