MR. KENNON HOWARD MCCOLLUM (MSN) – Nurse Practitioner, NPI 1427036409
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for MR. KENNON HOWARD MCCOLLUM (MSN)
Southcrest Drive, Stockbridge, Henry County, Georgia, 30236:30281, United States
SUITE 200
STOCKBRIDGE, GA 302816113
Phone: (678) 289-0549
Fax: (678) 289-8756
Type: Location
1835 SAVOY DR
SUITE 300
ATLANTA, GA 303411072
Phone: (678) 289-0549
Fax: (678) 289-8756
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 287 Open Payments records for all available years, with a total value of $107,676.
Total Amount is formed as General ($107,676) + Research ($0) + Ownership ($0) = $107,676.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($26,895).
Total Amount
$107,676
General + Research + Ownership
Payments
287
Total payment records
General Amount
$107,676
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $26,895 |
| Pharmacyclics LLC, an AbbVie Company | $14,947 |
| Merck Sharp & Dohme LLC | $14,366 |
| E.R. Squibb & Sons, L.L.C. | $13,795 |
| Janssen Biotech, Inc. | $12,288 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051215000163 | I | Nurse Practitioner | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 271 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 32 | $0 |
Insurance plans in this area (ZIP 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| - | GA | |
| - | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | AL | |
| - | GA | |
| Hematology/Oncology, Internal Medicine | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Nurse Practitioner | GA |
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