Mr. Kennon Howard Mccollum
MSN | Nurse Practitioner | 23+ years Exp
1045 Southcrest Dr, Suite 200, Stockbridge
Georgia, 30281-6113
678-289-0549
Accepts Medicare Nurse Anesthetist in Stockbridge, Georgia.Mr. Kennon Howard Mccollum is a Stockbridge, Georgia based nurse practitioner with 23 years of experience in . He completed his graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Kennon Howard Mccollum is RN102128 in Georgia. His current practice location is 1045 Southcrest Dr, Suite 200, Stockbridge. Patients can reach him at 678-289-0549 or can fax him at 678-289-8756. Mr. Kennon Howard Mccollum is MSN and his NPI number (Unique professional ID assigned by NPPES) is 1427036409.
Mr. Kennon Howard Mccollum has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Kennon Howard Mccollum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Kennon Howard Mccollum |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | MSN |
| Experience: | 23+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2002 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1045 Southcrest Dr, Suite 200, Stockbridge, Georgia, 30281-6113 |
| Phone: | 678-289-0549 |
| Fax: | 678-289-8756 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3971524125 |
| Enrollment ID: | I20051215000163 |
| NPI Number: | 1427036409 |
| NPI Enumeration Date: | 09 Jan, 2006 |
| NPI Last Update On: | 19 Aug, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kennon Howard Mccollum are as mentioned below.
| License Number | Specialization | State | Status | |
| RN102128 | | Georgia | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Kennon Howard Mccollum is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Nsh Cancer Institute Professional Services G Llc (0840443164) | 97 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Kennon Howard Mccollum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000968745J | Medicaid | Georgia | |
| 000968745K | Medicaid | Georgia | |
| 000968745H | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Kennon Howard Mccollum 1835 Savoy Dr, Suite 300 Atlanta, Georgia |
| Zip: | 30341-1072 |
| Phone Number: | 678-289-0549 |
| Fax Number: | 678-289-8756 |
Patients can reach Mr. Kennon Howard Mccollum at
1045 Southcrest Dr, Suite 200, Stockbridge, Georgia or can
call to book an appointment on 678-289-0549.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.