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

Mr. Kennon Howard McCollum, MSN

Individual provider Nurse Practitioner · NPI 1427036409

Mr. Kennon Howard McCollum, MSN is a Nurse Practitioner in Stockbridge, Georgia. Qualified in 2002, 24 years ago. Practices with Nsh Cancer Institute Professional Services G LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2006
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1045 Southcrest Dr Ste 200
Stockbridge, GA 30281-6113
Phone: (678) 289-0549
Fax: (678) 289-8756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN102128 (GA)

Record details

NPI number1427036409
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Nsh Cancer Institute Professional Services G Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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