Molly McCollough, RD,LD

Primary specialty

NutritionistTaxonomy code 133N00000X

License

LD002656 Issued in GA

Practice address

4536 Barclay Dr
Atlanta, GA 30338-5802

Phone

(770) 458-8711

Fax

(770) 458-8640

NPI assigned

Mar 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Unlimited Spectrum, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
  • NPI 1346610789
  NPD (past)
• WBC Georgia LLC

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1235674375
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184748741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 BARCLAY DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385802",
            "telephone_number": "770-458-8711",
            "fax_number": "770-458-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 BARCLAY DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385802",
            "telephone_number": "770-458-8711",
            "fax_number": "770-458-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOUGH",
        "first_name": "MOLLY",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "GA",
            "license": "LD002656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya McClure, MS
• Shayna McClure, PHARMD
• Paul D. McCluskey, MD
• David A. McClusky III, M.D.
• Stephen Mason McCollam, MD
• Casey McCollum, LCSW
• Kareem McCollum
• Sian McCollum
• Brock McConnell
• Mary Carolyn McConnell

• Nutritionist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nutritionist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.