Leslie Ellen McCollum, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

856240 Issued in MS

Practice address

4751 Butler Rd
Tupelo, MS 38801-8494

Phone

(662) 769-2181

NPI assigned

Jun 30, 2009

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

• Leslie Peterson Former name

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Segue Health of Mississippi LLCGroup PAC ID 2769757897, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Segue Health of Mississippi LLC

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1467989954
  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559
  Medicare reassignment Care Compare group
• Webster Health Services, Inc.

  • General Acute Care Hospital
  • Eupora, MS
  • NPI 1982719621
  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS

  Medicare reassignment
• Webster Health Services, Inc.

  • Emergency Care Clinic/Center
  • Eupora, MS
  • NPI 1578668828
  NPD
• Webster Health Services, Inc.

  • Family Medicine Physician
  • Eupora, MS
  • NPI 1821881913
  NPD
• Acute Care & Family Clinic of Pontotoc

  • Nurse Practitioner
  • Pontotoc, MS
  • NPI 1356459069
  NPD (past)
• DHS Anesthesia, LLC

  • Anesthesiology Physician
  • Tupelo, MS
  • NPI 1184147431
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1710115506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 BUTLER RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388018494",
            "telephone_number": "662-769-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 BUTLER RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388018494",
            "telephone_number": "662-769-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Moorhigh Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397597134",
            "country_code": "US",
            "telephone_number": "662-769-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Medical Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386068629",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386553606",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 W Monroe St",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389015042",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "LESLIE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "856240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Llewellyn Kerr McClain, FNP
• Kelly Tate McClain, MS
• Lane Elizabeth McClellan, LCSW
• Richard Allen McCluney, M.D.
• James McClurkan, MAE
• Julie McCord, NP-C
• Donna McCormack, M.S. CCC-SLP
• Donna McCormack, P.T.
• Peter Michael McCormick, CRNA
• Amy McCoy

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.