Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Noah Benjamin McCollum, PA-C

Individual provider Physician Assistant · NPI 1174418701

Noah Benjamin McCollum, PA-C is a Physician Assistant in Marion, Indiana. Qualified in 2025, 1 year ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

330 N Wabash Ave Ste 110
Marion, IN 46952-2677
Phone: (765) 664-1201
Fax: (765) 664-2866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 113 N Coventry Dr, Anderson, IN 46012-3218 — (765) 717-9427

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10004996A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1174418701
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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