Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kennieth Charles McCollough Jr., MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1720243421

Kennieth Charles McCollough Jr., MD is a Sports Medicine in Birmingham, Alabama. Graduated from University of Alabama School of Medicine in 2008, 18 years ago. Practices with Mississippi State University, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
18
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1201 11th Ave S Ste 200
Birmingham, AL 35205
Phone: (205) 930-8339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 S Anniston Ave, Sylacauga, AL 35150-2904 — (256) 245-3201

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 29754 (AL)

Record details

NPI number1720243421
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 22, 2008
Last updated in NPPESJuly 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Mississippi State University — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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