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Jordan Austin Collum , CF-SLP

Speech-Language Pathologist β€’ Winter Park, FL

Active NPI 1619492337 Individual Practitioner Male Practitioner
Practice location in NPPES

133 Benmore Dr Ste 100
Winter Park, FL 32792

Call 4076444883 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

133 Benmore Dr Ste 100

Winter Park, FL 32792

Telephone 4076444883
Fax 4076443697
Organization at the Same NPPES Address or Phone
The Ear Nose And Throat Surgical Associates Pa Facility NPI 1114905148

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Clair Shores, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jordan Collum has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Winter Park and Florida

88 active clinicians are listed under Speech-Language Pathologist with a practice address in Winter Park, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Winter Park

0% of these 88 clinicians have the CMS telehealth indicator.

0% of these 88 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA16552

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7101005588

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20211102002410

Enrollment State Jurisdiction

UT

PECOS Control ID

5890183347

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

21000 E 12 Mile Rd

Saint Clair Shores, MI 480811116

Phone: 5867797610

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1689653297

Doctor of Audiology

NPI 1699779959

Doctor of Medicine (M.D.)

Kristen Clark , PA

Physician Assistant

NPI 1578527545

Physician Assistant

Jessica Curley , PA

Physician Assistant

NPI 1417232729

Physician Assistant

NPI 1275265316

Doctor of Audiology

NPI 1215355086

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 24, 2018

Registered at 133 BENMORE DR STE 100, WINTER PARK, FL 32792 (Tel: 4076444883)

πŸ“
Updated Business Mailing Address September 24, 2018

Registered at 133 BENMORE DR STE 100, WINTER PARK, FL 327924111 (Tel: 4076444883)

βœ…
NPI Profile Active August 03, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 03, 2017

Registered at 21000 E 12 MILE RD, SAINT CLAIR SHORES, MI 480811116 (Tel: 5867797610)

πŸ“
Business Mailing Address (Initial Record) August 03, 2017

Registered at 2440 PARMENTER BLVD APT 103, ROYAL OAK, MI 480731339 (Tel: 2567023672)

πŸ‘€
Provider Name / Credentials (Initial Record) August 03, 2017

Recorded as JORDAN COLLUM, CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2017

Speech-Language Pathologist (license number reported to NPPES: MI 7101005588)

🟒
Initial NPI Registration & Enumeration August 03, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619492337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2017
Last Update: December 17, 2021
Sole Proprietor: No

Mailing Address

133 Benmore Dr Ste 100

Winter Park, FL 327924111

Phone: 4076444883

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.