Individual provider Active NPI

Kayleigh McCollum, AU.D

  • Audiologist
  • Chattanooga, TN
National Provider Identifier
1245912880
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2193 Issued in TN
Practice address
1618 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-4139
Phone
(423) 710-1432
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2193 TN Primary

Addresses

Primary practice location

1618 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-4139

Mailing address

1618 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-4139
Phone (423) 710-1432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821000142 TN Practitioner - Qualified Audiologist 7416319660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Audiology Management Company IncGroup PAC ID 6507052149, 11 clinicians

Practice addresses (Care Compare)

6830 Lee Hwy
Chattanooga, TN 37421-2444
Phone (423) 710-1432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Audiology CurrentSince Jun 19, 2023 Accepting new patients
Johnson Audiology Management Company Inc Audiologist CurrentSince Jun 19, 2023 Accepting new patients

Locations

6830 Lee Hwy
Chattanooga, TN 37421
Phone (423) 710-1432

1618 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 710-1432

3325 Aspen Grove Dr
Ste 105
Franklin, TN 37067
Phone (615) 656-1109

5617 Highway 153
Ste 203
Hixson, TN 37343
Phone (423) 713-5266

804 N Thompson Ln
Ste 1F
Murfreesboro, TN 37129
Phone (615) 295-2970

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1245912880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 GUNBARREL RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214139",
            "telephone_number": "423-710-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 GUNBARREL RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214139",
            "telephone_number": "423-710-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "KAYLEIGH",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.