| Mrs Joanna R Mccollum, CFNP | |
|
1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3463 | |
| (601) 376-2818 | |
| (601) 376-2831 |
| Full Name | Mrs Joanna R Mccollum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 1860 Chadwick Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649390782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R859382 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ocean Springs Urgent Care | 0244426195 | 15 |
| Maxem Health Urgent Care Diberville | 1759624968 | 8 |
| Picayune Urgent Care Clinic, Llc | 3072612175 | 8 |
| Maxem Health Urgent Care Mccomb | 6305181959 | 12 |
| Maxem Health Urgent Care Flowood | 9335429422 | 9 |
| Maxem Health Urgent Care Magee | 9537419643 | 14 |
| Entity Name | River Oaks Management Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093 |
| Entity Name | Picayune Urgent Care Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780723502 PECOS PAC ID: 3072612175 Enrollment ID: O20070629000243 |
| Entity Name | Ocean Springs Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871808022 PECOS PAC ID: 0244426195 Enrollment ID: O20101118000444 |
| Entity Name | Hattiesburg Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164805156 PECOS PAC ID: 4981913308 Enrollment ID: O20151024000062 |
| Entity Name | Urban Rehab, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417370313 PECOS PAC ID: 7012214638 Enrollment ID: O20160328000462 |
| Entity Name | Maxem Health Urgent Care Flowood |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174070650 PECOS PAC ID: 9335429422 Enrollment ID: O20161207000648 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Maxem Health Urgent Care Magee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235669136 PECOS PAC ID: 9537419643 Enrollment ID: O20180912000183 |
| Entity Name | Maxem Health Urgent Care Mccomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235619479 PECOS PAC ID: 6305181959 Enrollment ID: O20181231000649 |
| Entity Name | Maxem Health Urgent Care Diberville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265991608 PECOS PAC ID: 1759624968 Enrollment ID: O20190622000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Joanna R Mccollum, CFNP 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3463 Ph: (601) 376-2818 | Mrs Joanna R Mccollum, CFNP 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3463 Ph: (601) 376-2818 |
Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657 | |
Mrs. Christian R Fortenberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 Fax: 601-200-4580 | |
Susan B Patterson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586 | |
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302 | |
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045 | |
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503 |