Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1952373573 Deactivated / Inactive NPI Male Practitioner

Dr. Billy Tommy Collum , MD

General Practice • Fulton, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Billy Collum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2006
NPI Deactivation Date May 14, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Billy Collum, MD was a registered General Practice practicing in Fulton, MS. Throughout an active medical career spanning 13 years, Dr. Collum provided care at the practice location at 1 MEDICAL PARK DR until profile deactivation on 2019-05-14.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park Dr

Fulton, MS 388439001

Telephone 6628625200
Fax 6628625297
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fulton, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Fulton, MS (91 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MS 03458

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Thomas Taylor , FNP-BC

Nurse Practitioner - Family

NPI 1093040057

Family Nurse Practitioner (Board Certified)

Dr. Charles Kelly , DO

Family Medicine

NPI 1104895267

Doctor of Osteopathic Medicine (D.O.)

Dr. Benton Kilman , MD

Family Medicine

NPI 1144457284

Doctor of Medicine (M.D.)

NPI 1265404214

Doctor of Medicine (M.D.)

Dr. Grayden Tubb , MD

Family Medicine

NPI 1699732511

Doctor of Medicine (M.D.)

NPI 1831152081

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 14, 2019

Record deactivated on May 14, 2019

NPI Profile Active March 08, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 08, 2011

Registered at 1 MEDICAL PARK DR, FULTON, MS 388439001 (Tel: 6628625200)

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Updated Business Mailing Address March 08, 2011

Registered at 1 MEDICAL PARK DR, FULTON, MS 388439001 (Tel: 6628625200)

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Provider Name / Credentials Updated March 08, 2011

Recorded as BILLY COLLUM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2011

General Practice (License #03458 in MS)

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Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952373573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2006
Last Update: March 08, 2011
Deactivation Date: May 14, 2019

Mailing Address

1 Medical Park Dr

Fulton, MS 388439001

Phone: 6628625200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.