Dr Jackie L Mccollum, MD. P.C.
NPI 1174706808 · Point of Service · Aurora, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Jackie L Mccollum, MD. P.C. is a Point of Service organization in Aurora, CO (NPI 1174706808).
Provider details
- NPI number
- 1174706808
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jackie Mccollum, President(720) 535-6204
- License
- 28393 (CO)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-17
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Frequently asked questions
- What is Dr Jackie L Mccollum, MD. P.C.'s NPI number?
- Dr Jackie L Mccollum, MD. P.C.'s National Provider Identifier (NPI) is 1174706808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Jackie L Mccollum, MD. P.C.?
- Dr Jackie L Mccollum, MD. P.C. is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Dr Jackie L Mccollum, MD. P.C. located?
- Dr Jackie L Mccollum, MD. P.C.'s practice location on file with NPPES is 12101 E 2nd Ave, Aurora, CO 80011-8327.
- What is Dr Jackie L Mccollum, MD. P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Dr Jackie L Mccollum, MD. P.C. is (720) 535-6204.
- Does Dr Jackie L Mccollum, MD. P.C. accept Medicare?
- Dr Jackie L Mccollum, MD. P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr Jackie L Mccollum, MD. P.C.?
- The authorized official listed on Dr Jackie L Mccollum, MD. P.C.'s NPPES record is Jackie Mccollum, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Jackie L Mccollum, MD. P.C.'s NPI active?
- Yes — Dr Jackie L Mccollum, MD. P.C.'s NPI (1174706808) is active in the NPPES registry as of the last update on 2022-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.