Individual provider Active NPI

Kyle Collom, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1437685294
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009747 Issued in GA
Practice address
1845 Piedmont Ave NE
Apt 502
Atlanta, GA 30324-4856
Phone
(217) 260-2781
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009747 GA Primary

Addresses

Primary practice location

1845 Piedmont Ave NE
Apt 502
Atlanta, GA 30324-4856

Mailing address

1845 Piedmont Ave NE
Apt 502
Atlanta, GA 30324-4856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224003567 IL Practitioner - Chiropractic 4284154097 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Robinson Chiropractic of Westville, LLC 2 clinicians
Robinson Chiropractic LTD 4 clinicians
Robinson Chiropractic of Hoopeston LLC 2 clinicians

Practice addresses (Care Compare)

111 N State St
Suite C
Westville, IL 61883-1407
Phone (217) 560-3110

3595 N Vermilion St
Danville, IL 61832-1337
Phone (217) 442-2273

830 S Dixie Hwy
Hoopeston, IL 60942-1903
Phone (217) 283-5638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009747GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Chiropractic of Hoopeston, LLC Chiropractor CurrentSince Dec 31, 2024 Accepting new patients
Robinson Chiropractic, LTD. Chiropractor CurrentSince Dec 31, 2024 Accepting new patients
Robinson Chiropractic of Watseka LLC Chiropractor CurrentSince Dec 31, 2024 Accepting new patients
Robinson Chiropractic of Westville, LLC Chiropractor CurrentSince Dec 31, 2024 Accepting new patients

Locations

3595 N Vermilion St
Danville, IL 61832
Phone (217) 442-2273

830 S Dixie Hwy
Hoopeston, IL 60942
Phone (217) 283-5638

625 S 5th St
Ste A
Watseka, IL 60970
Phone (815) 432-3305

625 S 5th St
Watseka, IL 60970
Phone (815) 432-2225

111 N State St
Ste C
Westville, IL 61883
Phone (217) 267-8077

111 N State St
Westville, IL 61883
Phone (217) 267-2188

Organizations & group practices 4

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1437685294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 PIEDMONT AVE NE",
            "address_2": "APT 502",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 PIEDMONT AVE NE",
            "address_2": "APT 502",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244856",
            "telephone_number": "217-260-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLOM",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.