MRS. SAMANTHA JEAN MCCOLLOUGH (NPI# 1174042501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174042501 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA JEAN MCCOLLOUGH |
| Credential | CRNP |
| Practice Address |
702 N Main St Opp AL 36467-1626 |
| Mailing Address |
9631 Highway 125 Elba AL 36323-7769 |
| Practice Telephone | 3344933451 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-143531 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
702 N MAIN ST |
| City | OPP |
| State | AL |
| Zip Code | 36467-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402955 | Mind Over Matter LLC | Clinic/Center | 702 N Main St, Opp, AL 36467-1626 | 2020-06-23 |
| 1275158578 | David Russell Adams | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2020-06-11 |
| 1962056143 | Mizell Memorial Hospital | Medicare Defined Swing Bed Unit | 702 N Main St, Opp, AL 36467-1626 | 2019-07-26 |
| 1477032795 | Mizell Memorial Hospital, Inc. | Hospitalist | 702 N Main St, Opp, AL 36467-1626 | 2018-08-08 |
| 1689165771 | Ciara O'megan Burrows | Social Worker | 702 N Main St, Opp, AL 36467-1626 | 2018-05-23 |
| 1982117412 | Nicholas Bass | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2017-11-07 |
| 1679009286 | Southland Hospitalist At Opp, Pllc | Hospitalist | 702 N Main St, Opp, AL 36467-1626 | 2017-05-03 |
| 1659702546 | Southland Medical Solutions of Opp Pllc | Emergency Medicine | 702 N Main St, Opp, AL 36467-1626 | 2013-12-03 |
| 1831397017 | Vincent E. Martin, M.d., P.C. | Radiology | 702 N Main St, Opp, AL 36467-1626 | 2007-07-10 |
| 1982800801 | Jerry Reed | Nurse Anesthetist, Certified Registered | 702 N Main St, Opp, AL 36467-1626 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146548 | Still Waters Msssage | Massage Therapist | 1800 W Cummings Ave, Opp, AL 36467 | 2015-10-16 |
| 1609245034 | Kellie Victoria King | Massage Therapist | 1800 West Cummings Avenue, Opp, AL 36467 | 2015-09-16 |
| 1912327099 | George Lawrence Arnett | Hearing Instrument Specialist | 2123 Highway 84 West, Opp, AL 36467 | 2014-04-16 |
| 1811313042 | Quality Hearing Center LLC | Hearing Instrument Specialist | 2123 Hwy 84 W., Opp, AL 36467 | 2014-03-12 |
| 1346372505 | Jeffrey Harold Worley | Dentist | 403 N Brantley St, Opp, AL 36467 | 2007-03-12 |
| 1649210600 | Opp Health and Rehabilitation, LLC | Skilled Nursing Facility | 115 Paulk Ave, Opp, AL 36467 | 2006-06-07 |
| 1770616989 | Joshua Driver PC | Optometrist | 604 N Main St Ste A, Opp, AL 36467-1600 | 2007-03-14 |
| 1932653722 | Andrew Scott Carter | Optometrist | 604 N Main St, Opp, AL 36467-1600 | 2016-08-09 |
| 1972679033 | Joshua Jonathan Driver | Optometrist | 604 N Main St, Suite A, Opp, AL 36467-1600 | 2006-11-28 |
| 1649355280 | Charles M Burgess Jr. | Dentist | 104 E Gunter Ave, Opp, AL 36467-1604 | 2006-10-25 |
| Find all providers in zip 36467 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316302748 | Kimberly Hornsby | Nurse Practitioner | 604 Brantley St, Opp, AL 36467-1742 | 2015-12-30 |
| 1326412032 | Patricia Leigh Rountree | Nurse Practitioner | 802 N Main St, Opp, AL 36467-1632 | 2015-11-18 |
| 1376836106 | Tonya L Pelham | Nurse Practitioner | 511 Brantley St, Opp, AL 36467-1702 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
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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.