ALEXIS CICCONE MCCULLOUGH
NPI 1336842061
Speech-Language Pathologist in Gainesville, VA
About Alexis Ciccone Mccullough NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXIS CICCONE MCCULLOUGH (NPI 1336842061) is an individual speech-language pathologist provider in Gainesville, Virginia and active in the NPI registry since March 2023. She is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Alexis Ciccone Mccullough 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
2Medicare enrollment records show Alexis Mccullough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roanoke, VA 24018
- Reassigned Medicare billing, Virginia enrollment
- 112 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alexis Mccullough's NPI number?
The NPI number for Alexis Mccullough is 1336842061. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Alexis Mccullough located?
Alexis Mccullough practices at 7820 Baltusrol Blvd, Gainesville, VA 20155. The listed phone number is (703) 468-2750.
What is Alexis Mccullough's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Alexis Mccullough enrolled in Medicare?
Yes. Alexis Mccullough 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 Alexis Mccullough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Mccullough reassigns Medicare benefits to 2 organizations: Legacy Healthcare Services Inc (Roanoke, VA) and Duke Health Integrated Practice, Inc (Durham, NC). 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 Alexis Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexis Mccullough accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Alexis 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 Alexis Mccullough was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Alexis Ciccone Mccullough · NPI 1336842061
Speech-Language Pathologist provider in Gainesville, Virginia. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1336842061 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7820 BALTUSROL BLVD, Gainesville, VA 20155-3270
- **Phone:** (703) 468-2750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Legacy Healthcare Services Inc (NPI 1740820828, Roanoke, VA); Duke Health Integrated Practice, Inc (NPI 1518725936, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1336842061) · Data from the CMS NPPES public registry.