Sylvia McCollum, LMT

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

6863 Issued in SC

Practice address

102 Darryl LN
Clio, SC 29525-4441

Phone

(843) 586-9857

Fax

(843) 586-7942

NPI assigned

Oct 14, 2015

Last updated

Oct 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sylvia Crawford McCollum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Healing Hands Therapeutic Massage

  • Community Health Worker
  • Clio, SC
  • NPI 1003245192
  NPD (past) Authorized official

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1609247717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DARRYL LN",
            "city": "CLIO",
            "state": "SC",
            "postal_code": "295254441",
            "telephone_number": "843-586-9857",
            "fax_number": "843-586-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DARRYL LN",
            "city": "CLIO",
            "state": "SC",
            "postal_code": "295254441",
            "telephone_number": "843-586-9857",
            "fax_number": "843-586-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "SYLVIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "SC",
            "license": "6863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "MCCOLLUM",
            "middle_name": "CRAWFORD",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margaret Newton Freeman, OTR/L
• Healing Hands Therapeutic Massage
• Amber Woodberry Hughes, OTR/L
• Sonja Jordan-Phillips
• Just the Right Fit LLC
• Ronald Jerome McLaughlin
• Pravin R Patel, MD
• Rima Patel, MD
• Pravin R Patel MD. (Clio Medical Center)
• Priyan Samarakoon PLLC

• Other Technician in Clio, SC
• Providers in Clio, SC by specialty
• Other Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.