Susan Deane McCollum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00004137 Issued in AL

Practice address

34011 US Highway 280
Childersburg, AL 35044-2128

Phone

(256) 378-3313

Fax

(256) 378-3315

NPI assigned

Jul 17, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467470526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350440349",
            "telephone_number": "256-378-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34011 US HIGHWAY 280",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350442128",
            "telephone_number": "256-378-3313",
            "fax_number": "256-378-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "SUSAN",
        "middle_name": "DEANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00004137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00094327",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-01403",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51520205",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnold Larry Kirkland Jr., R PH
• Abena Agyeiwaa Lamptey, DMD
• Lourdes Professional Services, LLC (Lourdes Health Solutions)
• Management and Medical Services, LLC (Childersburg Primary Care)
• Lori Maness
• John Rogers McDaniel, D.M.D.
• Laura Meek, HIS
• Kyndall Murphy, PHARMD
• Lida Nguyen, PHARMD
• Northland Hearing Centers Inc (Audibel Hearing Aid Center)

• Family Medicine Physician in Childersburg, AL
• Providers in Childersburg, AL by specialty
• Family Medicine Physician in Alabama

• 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.