DR. DANIEL A MCCOLLUM (NPI# 1053398503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053398503 |
| Entity Type | Individual |
| Full Name | DR. DANIEL A MCCOLLUM |
| Credential | D.C. |
| Practice Address |
115 Brushy Creek Rd Easley SC 29642-1120 |
| Practice Telephone | 8648551655 |
| Practice Fax Number | 8648551323 |
| Mailing Telephone | 8648551655 |
| Mailing Fax Number | 8648551323 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | SC1792 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPI | 1053398503 | 01 |
| SC | STATE LICENSE | 1792 | 01 |
| SC | CH1792 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528389707 | Daniel Jay Mccollum | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2010-06-22 |
| Street Address |
115 BRUSHY CREEK RD |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793780 | Mark James Wasylenko | Specialist | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2005-10-06 |
| 1700404019 | Katherine Joy Hendricks | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2020-07-13 |
| 1467091306 | Carolina Spine and Pain Centers, LLC | Clinic/Center | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2019-12-23 |
| 1821637760 | Csp Enterprises LLC | Anesthesiology | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2019-12-23 |
| 1205387883 | Melody Young Deangelis | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2016-10-19 |
| 1588047732 | Joseph A Pilgrim | Physical Therapist | 115 Brushy Creek Rd, Suite A, Easley, SC 29642-1120 | 2015-07-07 |
| 1538573431 | Jessica Gravely Bell | Nurse Practitioner | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2014-06-18 |
| 1215348644 | Exigo Pharmaceuticals, LLC | Pharmacy | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2014-05-20 |
| 1811318512 | Oaktree Medical Centre | Physical Medicine & Rehabilitation | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2013-12-23 |
| 1386925758 | Jonathan David Haas | Physical Therapist | 115 Brushy Creek Rd, Advanced Physical Therapy, Easley, SC 29642-1120 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346774817 | Amber Davis | Chiropractor | 109 Cedar Cir, Easley, SC 29642-1125 | 2017-04-12 |
| 1699107995 | Easley Family Chiropractic | Chiropractor | 221 S Pendleton St, Easley, SC 29640-3047 | 2013-08-08 |
| 1518034099 | Jay Everette Young | Chiropractor | 4628 Calhoun Memorial Hwy, Easley, SC 29640-3829 | 2006-11-29 |
| 1831276344 | Victoria J Naumann | Chiropractor | 1097 S Pendleton St, Easley, SC 29642-1040 | 2006-11-01 |
| 1679658827 | Edward Mack Boren | Chiropractor | 6335 Calhoun Memorial, Suite C, Easley, SC 29640-3784 | 2006-10-26 |
| 1275549347 | Brian Deshields | Chiropractor | 838 Powdersville Rd Ste R, Easley, SC 29642-3703 | 2006-07-31 |
| 1043233323 | John R Travan | Chiropractor | 1824 E Main St, Ste G, Easley, SC 29640 | 2006-07-26 |
| 1932122694 | Jerry Nicholas St John | Chiropractor | 300 E A Ave, Easley, SC 29640-2104 | 2006-07-25 |
| 1861451205 | Herbert C. Garcia Jr. | Chiropractor | 1304 E Main St, Suite A, Easley, SC 29640-3741 | 2006-03-23 |
| 1750383444 | Christopher Vincent Bocchino | Chiropractor | 729 E Main St, Easley, SC 29640-3153 | 2005-08-11 |
| Find all providers in EASLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.