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

Madison McCollum

Individual provider Speech-Language Pathologist · NPI 1902625718

Madison McCollum is a Qualified Speech Language Pathologist in Amory, Mississippi. Qualified in 2022, 4 years ago. Practices with Breakthrough Physical Therapy, a 10-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2024
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Practice location Address checks out

60368 Cotton Gin Port Rd
Amory, MS 38821-9104
Phone: (662) 257-3669
Fax: (662) 257-3961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S-4930 (MS)

Record details

NPI number1902625718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address60368 Cotton Gin Port Rd, Amory, MS 38821-9104

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Breakthrough Physical Therapy — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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