Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIR'MEL CANDIS MCCULLOUGH APRN
NPI 1629775499
Nurse Practitioner - Family in Columbia, SC

Q: What is Shir'mel Mccullough's NPI number?

The NPI number for Shir'mel Mccullough is 1629775499. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Q: What is Shir'mel Mccullough's specialty?

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

Active since February 13, 2023PECOS Enrolled

2117 GERVAIS ST, COLUMBIA, SC 29204(803) 744-0540(803) 744-0542 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Feb 13, 2023 (2 updates tracked since 2023).

On this page

About Shir'mel Candis Mccullough Aprn NPPES

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

SHIR'MEL CANDIS MCCULLOUGH APRN (NPI 1629775499) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (28094) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2023).

NPPES Registry Identity

NPI1629775499

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHIR'MEL CANDIS MCCULLOUGHCredential: APRN

Location Address2117 GERVAIS STColumbia, SC 29204-1805

Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5959

Phone(803) 744-0540

Fax(803) 744-0542

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2023

Enumeration DateFebruary 13, 2023

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1629775499 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 SC · 28094

2117 GERVAIS ST, Columbia, SC 29204

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shir'mel Candis Mccullough Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597230227

PECOS Enrollment IDI20260409002459

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 29204 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 7

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

MRS. NICOLETTE D BURNETTE LISW

Social Worker (Clinical)