DR. CHARLES J. MCCOLLUM (NPI# 1467419960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467419960 |
| Entity Type | Individual |
| Full Name | DR. CHARLES J. MCCOLLUM |
| Credential | M.D. |
| Practice Address |
1201 7th St Se Decatur AL 35601-3337 |
| Mailing Address |
1900 Flint Rd Se Decatur AL 35601-6031 |
| Practice Telephone | 2563412000 |
| Practice Fax Number | 2563502609 |
| Mailing Telephone | 2563530626 |
| Mailing Fax Number | 2563502609 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 00011521 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902915671 | Charles E Mccollum | Optometrist | 1302 Enterprise Way, Marion, IL 62959 | 2006-08-29 |
| 1841222825 | Charles Joseph Mccollum | Pharmacist | 1312 Manatee Ave East, Bradenton, FL 34208 | 2006-07-07 |
| 1043418692 | Charles Ramsey Mccollum IIi | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-07-05 |
| 1225091689 | Charles Holmes Mccollum IIi | Surgery | 6565 Fannin St, Department of Internal Medicine, Houston, TX 77030-2707 | 2006-04-07 |
| Street Address |
1201 7TH ST SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036070 | Brian Koonce | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2005-10-06 |
| 1598389116 | Julianna Mize | Nurse Anesthetist, Certified Registered | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-05-29 |
| 1831728302 | Jennifer Leigh Davis | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-04-06 |
| 1316571615 | Decatur Morgan Emergency Medicine | Emergency Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2020-02-25 |
| 1245791912 | Summer Cole Todd | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-26 |
| 1417416173 | Reagan Robinson Lindsey | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-03-12 |
| 1639633258 | Brittany Marie Walker | Registered Nurse | 1201 7th St Se, Decatur, AL 35601-3337 | 2019-01-28 |
| 1144799693 | Jenna Anne Cox Mcgee | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3303 | 2018-11-14 |
| 1093296964 | Delana Cole Clemons | Nurse Practitioner | 1201 7th St Se, Decatur, AL 35601-3337 | 2018-08-28 |
| 1710409958 | Mrudula Thiriveedi | Internal Medicine | 1201 7th St Se, Decatur, AL 35601-3337 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568866887 | Anesthesia Advantage Inc | Anesthesiology | 875 Vistavia Cir, Decatur, GA 30033-3409 | 2014-10-15 |
| 1427323864 | Francesco Vetri | Anesthesiology | 304 W Hay St Ste 213, Decatur, IL 62526-4169 | 2012-03-19 |
| 1649432329 | David Michael Webb | Anesthesiology | 2784 N Decatur Rd Ste 120, Decatur, GA 30033-5993 | 2008-06-25 |
| 1730356379 | Amanda Sampey | Anesthesiology | 1205 Mcconnell Dr, Decatur, GA 30033-3501 | 2008-05-13 |
| 1801093703 | Okera S Hanshaw | Anesthesiology | 3 Mcevoy Ln, Decatur, GA 30030-4412 | 2007-07-02 |
| 1962433508 | Fitzclarence N Harper | Anesthesiology | 4153 Flat Shoals Parkway, Building A Suite 102, Decatur, GA 30034-4106 | 2006-07-05 |
| 1437199122 | Charles Langdon Watkins | Anesthesiology | 1704 Summerlane Se, Decatur, AL 35601 | 2006-06-08 |
| 1215981840 | Suzana Anic | Anesthesiology | 2701 N. Decatur Rd, Decatur, GA 30033-0000 | 2006-05-19 |
| 1326019712 | Mark A Murphy | Anesthesiology | 1852 Beltline Rd Sw, Suite G, Decatur, AL 35601-5578 | 2006-02-01 |
| 1760452072 | Jeffrey M Markham | Anesthesiology | 2208 Danville Rd Sw Ste G, Decatur, AL 35601-4603 | 2006-01-26 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on DR. CHARLES J. MCCOLLUM.
| 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.