Sian McCollum

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

059604719 Issued in GA

Practice address

1030 Fayetteville Rd SE
Atlanta, GA 30316-2921

Phone

(404) 486-9034

NPI assigned

May 22, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1396437182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 ARDMORE LN",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305486227",
            "telephone_number": "678-887-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FAYETTEVILLE RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162921",
            "telephone_number": "404-486-9034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Alpharetta St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300753701",
            "country_code": "US",
            "telephone_number": "470-254-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 Kimball Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300224417",
            "country_code": "US",
            "telephone_number": "678-877-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "SIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "059604719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. McClusky III, M.D.
• Stephen Mason McCollam, MD
• Molly McCollough, RD,LD
• Casey McCollum, LCSW
• Kareem McCollum
• Brock McConnell
• Mary Carolyn McConnell
• Kem-Maria Kemish McCook, MBBS
• Clinton D. McCord Jr., M.D.
• Colyar McCord, AUD

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.