NPI age
20 years
Enumerated 2006-01-09
● Active
Type 1 · Individual
MR. Kennon Howard McCollum, MSN
McCollum is 1 of 34 nurse practitioner providers in Stockbridge and 1 of 3206 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3206 active nurse practitioner providers in Georgia.
NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
1045 Southcrest Dr, Suite 200
Stockbridge, GA 302816113
Mailing address
1835 Savoy Dr, Suite 300
Atlanta, GA 303411072
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000968745J | |
| 05 (GA) | 000968745K | |
| 05 (GA) | 000968745H |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.