1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Physician Assistant
  6. NPI Profile

MR. BARRY G MCCULLOUGH PA
NPI 1225057151
Physician Assistant in Orange Park, FL

Active since July 19, 2006
2140 KINGSLEY AVE STE 1, ORANGE PARK, FL 32073(904) 272-7500(904) 272-7502 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Barry G Mccullough Pa NPPES

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

MR. BARRY G MCCULLOUGH PA (NPI 1225057151) is an individual physician assistant in Orange Park, Florida, licensed in Florida (PA1751) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1225057151
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BARRY G MCCULLOUGHCredential: PA
Location Address2140 KINGSLEY AVE STE 1Orange Park, FL 32073-5129
Mailing Address2140 Kingsley Ave Ste 1Orange Park, FL 32073-5129 · (904) 272-7500 · Fax (904) 272-7502
Phone(904) 272-7500
Fax(904) 272-7502
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 6, 2009
✔ NPI 1225057151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA1751
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2140 KINGSLEY AVE STE 1, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN970015731FL
Medicare UPINS54474FL
Medicare PINE0622ZFL
Medicaid2908077-00FL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMER ISMAEEL MD
Internal Medicine
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073
Clay County (904) 368-6809
HARBOR PHYSICIANS LLC
Clinic/Center (Multi-Specialty)
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073
Clay County (904) 368-6809
JENNIFER HUYEN TRA PA-C
Physician Assistant
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073
Clay County (904) 272-7500
PAUL SAMUEL SCHKLAR P.A.-C.
Physician Assistant
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073
Clay County (904) 272-7500
MARY L SCOTT ARNP
Nurse Practitioner (Adult Health)
2140 KINGSLEY AVE STE 1
ORANGE PARK, FL 32073
Clay County (904) 272-7500

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 Barry Mccullough's NPI number?

The NPI number for Barry Mccullough is 1225057151. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Barry Mccullough located?

Barry Mccullough practices at 2140 Kingsley Ave Ste 1, Orange Park, FL 32073. The listed phone number is (904) 272-7500.

What is Barry Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Barry Mccullough was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.