G R Collum, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C4020 Issued in AR

Practice address

503 S Broadway St
Hughes, AR 72348-9701

Phone

(870) 339-3500

Fax

(870) 339-3501

NPI assigned

Aug 30, 2006

Last updated

May 16, 2014By the provider in NPPES

Sex

Male

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marion Minor Medical LLC

  • General Practice Physician
  • Marion, AR
  • NPI 1962823310
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1538279385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S BROADWAY ST",
            "city": "HUGHES",
            "state": "AR",
            "postal_code": "723489701",
            "telephone_number": "870-339-3500",
            "fax_number": "870-339-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S BROADWAY ST",
            "city": "HUGHES",
            "state": "AR",
            "postal_code": "723489701",
            "telephone_number": "870-339-3500",
            "fax_number": "870-339-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLUM",
        "first_name": "G",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "C4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley B Brawley, D.D.S.
• Demarcus Burks, MHPP
• Charles Jones Jr MD PA
• City of Hughes Office of City Clerk (Hughes Fire Department)
• Jefferson Arnold Dunaway, RPH
• Dunaway's Family Pharmacy Inc.
• Hughes Medical Equipment
• Hughes Medical Equipment Inc
• Hughes School District

• General Practice Physician in Hughes, AR
• Providers in Hughes, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.