DR. PRENTICE MICHAEL MCCULLOUGH M.D.
NPI 1619950904
Anesthesiology in Carrollton, GA

Q: What is Prentice Mccullough's NPI number?

The NPI number for Prentice Mccullough is 1619950904. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Prentice Mccullough's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

705 DIXIE ST, CARROLLTON, GA 30117(770) 812-5730(770) 838-8563 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Prentice Michael Mccullough M.d. NPPES

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

DR. PRENTICE MICHAEL MCCULLOUGH M.D. (NPI 1619950904) is an individual anesthesiology provider in Carrollton, Georgia, licensed in Georgia (58806) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Js Weill Medical College, Cornell University (2000).

NPPES Registry Identity

NPI1619950904

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. PRENTICE MICHAEL MCCULLOUGHCredential: M.D.

Location Address705 DIXIE STCarrollton, GA 30117-3818

Mailing Address119 Ambulance Dr, Suite 202Carrollton, GA 30117-3857 · (770) 812-5730 · Fax (770) 838-8563

Phone(770) 812-5730

Fax(770) 838-8563

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2000

Enumeration DateNovember 21, 2005

Last NPPES UpdateJune 16, 2010

✔ NPI 1619950904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in GA · 58806✔ Licensed in FL · ME90751

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

705 DIXIE ST, Carrollton, GA 30117

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Other Identifiers 1

Medicare UPINI22989FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prentice Michael Mccullough 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.

PECOS PAC ID8325006042

PECOS Enrollment IDI20070726000035

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 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

37 services37 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

19 services19 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

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.

WEST GEORGIA PATHOLOGY, LLC

Pathology (Anatomic Pathology & Clinical Pathology)

705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117

Carroll County (678) 305-9046

LORIEN T ALTADONNA M.D.

Pathology (Anatomic Pathology & Clinical Pathology)