Haley Thomason McCollum, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1276 Issued in MS

Practice address

101 W Washington St Ste C1
Ridgeland, MS 39157-2434

Phone

(601) 856-2383

Fax

(877) 294-2560

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olde Towne Chiropractic LLCGroup PAC ID 6103209028, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Olde Towne Chiropractic LLC

  • Chiropractor
  • Clinton, MS
  • NPI 1447980198
  Medicare reassignment Care Compare group NPD Authorized official
• Northeast Chiropractic Clinic, Inc.

  • Chiropractor
  • Ridgeland, MS
  • NPI 1649646027
  NPD

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1164946398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W WASHINGTON ST STE C1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572434",
            "telephone_number": "601-856-2383",
            "fax_number": "877-294-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W WASHINGTON ST STE C1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572434",
            "telephone_number": "601-856-2383",
            "fax_number": "877-294-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "HALEY",
        "middle_name": "THOMASON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte A McClellan
• Valerie Jean McClellan, L.C.S.W.
• Karen Denise McClelland, CPHT
• Molly Jo Mackenzie McCleskey Douglas
• Lesa Cox McCluer, OTR/L
• Lori Michelle McCoy, PT
• Shawnece McCrary
• Kyle McCullouch, DPT
• Emily McDaniel, PTA
• Sam-Ath Sao McDaniel, PTA

• Chiropractor in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.