ANDRE MCCOLLOUGH M.D.
NPI 1316294200
Internal Medicine in Mishawaka, IN
About Andre Mccollough M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE MCCOLLOUGH M.D. (NPI 1316294200) is an individual internal medicine provider in Mishawaka, Indiana, licensed in New York (281409) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and maintains a secondary practice location in Toledo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andre Mccollough M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Andre Mccollough reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Utica, NY 13502
- Reassigned Medicare billing, New York enrollment
- 304 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: St Joseph's Physician Health PC
- 304 clinicians in this Medicare group
East Patchogue, NY 11772
- Reassigned Medicare billing, New York enrollment
- 640 clinicians in this Medicare group
Albany, GA 31707
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, New York enrollment
- 354 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Cartersville Medical Center
Acute Care Hospitals · Cartersville, GAPiedmont Rockdale Hospital
Acute Care Hospitals · Conyers, GAPiedmont Newnan Hospital, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andre Mccollough's NPI number?
The NPI number for Andre Mccollough is 1316294200. It was assigned to this individual provider in the NPPES registry on August 9, 2012.
Where is Andre Mccollough located?
Andre Mccollough practices at 4455 Edison Lakes Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 231-6134.
What is Andre Mccollough's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Andre Mccollough enrolled in Medicare?
Yes. Andre Mccollough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Andre Mccollough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andre Mccollough reassigns Medicare benefits to 8 organizations: North Atlanta Professional Services LLC (Atlanta, GA), New York Medical Physician Associates PC (Utica, NY), Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Cogent Healthcare Of Georgia PC (Macon, GA), St. Joseph's Physician Health, P.C. (Troy, NY) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andre Mccollough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andre Mccollough affiliated with any hospitals?
According to CMS data, Andre Mccollough is affiliated with Piedmont Cartersville Medical Center, Piedmont Rockdale Hospital and Piedmont Newnan Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Andre Mccollough was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andre Mccollough, M.D. · NPI 1316294200
Internal Medicine physician in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since August 9, 2012.
## Identity
- **NPI:** 1316294200 (Entity type: Individual)
- **Enumerated:** August 9, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 281409 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4455 EDISON LAKES PKWY, Mishawaka, IN 46545-1414
- **Phone:** (574) 231-6134 · **Fax:** (574) 231-6845
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); New York Medical Physician Associates PC (NPI 1619722147, Utica, NY); Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); St. Joseph's Physician Health, P.C. (NPI 1154376770, Troy, NY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316294200) · Data from the CMS NPPES public registry.