JOHN DOOLEY CULBERTSON MD
NPI 1194475962
Pediatrics in Madison, MS

Q: What is John Culbertson's NPI number?

The NPI number for John Culbertson is 1194475962. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is John Culbertson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for John Culbertson was last updated on June 11, 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.

Active since March 25, 2022PECOS Enrolled

7730 OLD CANTON RD BLDG AB, MADISON, MS 39110(601) 815-2005 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Dooley Culbertson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN DOOLEY CULBERTSON MD (NPI 1194475962) is an individual pediatrics provider in Madison, Mississippi, licensed in Mississippi (35348) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194475962

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJOHN DOOLEY CULBERTSONCredential: MD

Location Address7730 OLD CANTON RD BLDG ABMadison, MS 39110-9299

Mailing AddressPo Box 11407 Dept 2130Birmingham, AL 35246-2130

Phone(601) 815-2005

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 25, 2022

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1194475962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MS · 35348

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7730 OLD CANTON RD BLDG AB, Madison, MS 39110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Dooley Culbertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416477633

PECOS Enrollment IDI20250818004151

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Culbertson's NPI number?

The NPI number for John Culbertson is 1194475962. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is John Culbertson located?

John Culbertson practices at 7730 Old Canton Rd Bldg Ab, Madison, MS 39110. The listed phone number is (601) 815-2005.

What is John Culbertson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Culbertson enrolled in Medicare?

Yes. John Culbertson is registered in the Medicare PECOS enrollment system.

What insurance does John Culbertson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list John Culbertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Culbertson was last updated on June 11, 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.