Joanna R McCollum, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R859382 Issued in MS

Practice address

1860 Chadwick Dr
Suite 254
Jackson, MS 39204-3463

Phone

(601) 376-2818

Fax

(601) 376-2831

NPI assigned

Mar 30, 2007

Last updated

Aug 21, 2013By the provider in NPPES

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maxem Health Urgent Care McCombGroup PAC ID 6305181959, 10 clinicians

Maxem Health Urgent Care DibervilleGroup PAC ID 1759624968, 11 clinicians

Petal Urgent Care LLCGroup PAC ID 9133303811, 9 clinicians

Ocean Springs Urgent CareGroup PAC ID 0244426195, 18 clinicians

Maxem Health Urgent Care MageeGroup PAC ID 9537419643, 16 clinicians

Maxem Health Urgent Care FlowoodGroup PAC ID 9335429422, 9 clinicians

Picayune Urgent Care Clinic, LLCGroup PAC ID 3072612175, 10 clinicians

Hattiesburg Urgent Care LLCGroup PAC ID 4981913308, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

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.

• Hattiesburg Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Hattiesburg, MS
  • NPI 1164805156
  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care Diberville

  • Urgent Care Clinic/Center
  • D'Iberville, MS
  • NPI 1265991608
  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care Flowood

  dba Flowood Urgent Care

  • Urgent Care Clinic/Center
  • Flowood, MS
  • NPI 1174070650
  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care Magee

  dba Magee Urgent Care

  • Urgent Care Clinic/Center
  • Magee, MS
  • NPI 1235669136
  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care McComb

  dba McComb Urgent Care

  • Urgent Care Clinic/Center
  • McComb, MS
  • NPI 1235619479
  Medicare reassignment Care Compare group NPD
• Ocean Springs Urgent Care

  • Urgent Care Clinic/Center
  • Ocean Springs, MS
  • NPI 1871808022
  Medicare reassignment Care Compare group NPD
• Petal Urgent Care LLC

  • Urgent Care Clinic/Center
  • Petal, MS
  • NPI 1982908877
  Medicare reassignment Care Compare group NPD
• Picayune Urgent Care Clinic, LLC

  • Urgent Care Clinic/Center
  • Picayune, MS
  • NPI 1780723502
  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment NPD
• Orange Grove Urgent Care

  • Urgent Care Clinic/Center
  • Gulfport, MS
  • NPI 1831330661
  Medicare reassignment NPD
• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040

  Nurse Practitioner

  Medicare reassignment NPD
• Urban Rehab, Inc

  dba UR, Incorporated

  • Clinical Social Worker
  • Clinton, MS
  • NPI 1417370313
  Medicare reassignment NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1649390782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 254",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-376-2818",
            "fax_number": "601-376-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 254",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-376-2818",
            "fax_number": "601-376-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "JOANNA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R859382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie McCline
• Prince Stena McClinton, NP
• Sally Joyce White McClung, MD
• Stanley McCollough Jr., ATC, LAT, MHSA
• Jamie Douglas McCollum, M.D.
• Rachel J McCollum
• Kathy R McColumn, PT
• Jamison Susanne McComb
• Hannah McCowan
• Nancye Kathleen McCowan, MD

• Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.
• 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.