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MICHAEL ALLEN MCCULLOUGH PHD, NP-BC, AP-RN
NPI 1316298870
Nurse Practitioner - Family in Fayetteville, GA

Active since September 25, 2012PECOS Enrolled
82.24/100
CMS Quality Rating
101 YORKTOWN DR, FAYETTEVILLE, GA 30214(770) 460-4075 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Allen Mccullough Phd, Np-bc, Ap-rn NPPES

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

MICHAEL ALLEN MCCULLOUGH PHD, NP-BC, AP-RN (NPI 1316298870) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (RN057553NP) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316298870
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL ALLEN MCCULLOUGHCredential: PHD, NP-BC, AP-RN
Location Address101 YORKTOWN DRFayetteville, GA 30214-1578
Mailing Address101 Yorktown DrFayetteville, GA 30214-1578 · (770) 460-4075
Phone(770) 460-4075
Sole ProprietorNo
Enumeration DateSeptember 25, 2012
✔ NPI 1316298870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN057553NP
101 YORKTOWN DR, Fayetteville, GA 30214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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)

Michael Allen Mccullough Phd, Np-bc, Ap-rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services17 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

82.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
23%30 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%23 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%31 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
71%34 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. G ANTHONY SLAGEL MD
Dermatology
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 464-8428
PRIVIA MEDICAL GROUP OF GEORGIA LLC
Internal Medicine
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4285
ASHLEE BLOCK PA-C
Physician Assistant
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (678) 593-9020
HANNAH LEE WHEELER PA-C
Physician Assistant
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4285
PROF. MUKTI BHATIA KANJI D.O.
Family Medicine
101 YORKTOWN DR, SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4285
GEORGIA REHABILITATION CENTER INC
Clinic/Center (Physical Therapy)
101 YORKTOWN DR, SUITE 211
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4054
DR. DAVID WOODS ARNALL MD
Internal Medicine
101 YORKTOWN DR
FAYETTEVILLE, GA 30214
Fayette County (770) 464-4280
ALTEE S JOHNSON M.D.
Family Medicine
101 YORKTOWN DR, SUITE110
FAYETTEVILLE, GA 30214
Fayette County (678) 364-5400

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 Michael Mccullough's NPI number?

The NPI number for Michael Mccullough is 1316298870. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Michael Mccullough located?

Michael Mccullough practices at 101 Yorktown Dr, Fayetteville, GA 30214. The listed phone number is (770) 460-4075.

What is Michael Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Mccullough enrolled in Medicare?

Yes. Michael Mccullough is registered in the Medicare PECOS enrollment system.

What insurance does Michael Mccullough accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michael Mccullough 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 Michael Mccullough was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.