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JOHN DANIEL MCCULLOUGH III PA-C
NPI 1801628896
Physician Assistant in Muncie, IN

Active since August 17, 2024PECOS Enrolled
2525 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 747-3883(765) 448-7671 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John Daniel Mccullough Iii Pa-c NPPES

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

JOHN DANIEL MCCULLOUGH III PA-C (NPI 1801628896) is an individual physician assistant in Muncie, Indiana, licensed in Indiana (10005225A) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Emory University School Of Medicine (2025).

NPPES Registry Identity

NPI1801628896
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN DANIEL MCCULLOUGH IIICredential: PA-C
Location Address2525 W UNIVERSITY AVEMuncie, IN 47303-3421
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(765) 747-3883
Fax(765) 448-7671
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2025
Enumeration DateAugust 17, 2024
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1801628896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10005225A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2525 W UNIVERSITY AVE, Muncie, IN 47303
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Secondary Practice Location 1

Location 11462 Clifton Rd NE Ste 280Atlanta, GA 30322-1063 · Phone (404) 727-7825

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Daniel Mccullough Iii Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911478607
PECOS Enrollment IDI20260603002555
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 47303 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 20

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

ELECTROCARDIOGRAPHIC INTERPRETATION SERVICE, INC.
Internal Medicine (Clinical Cardiac Electrophysiology)
2525 W UNIVERSITY AVE, SUITE 505
MUNCIE, IN 47303
Delaware County (765) 289-6166
MS. CHASITY R EVANS CPNP-PC
Nurse Practitioner (Pediatrics)
2525 W UNIVERSITY AVE, SUITE 404
MUNCIE, IN 47303
Delaware County (765) 231-9494
DERRICK THOMAS ROGERS MD
Otolaryngology
2525 W UNIVERSITY AVE, SUITE 501
MUNCIE, IN 47303
Delaware County (765) 284-2172
MICHAEL J BURRELL M.D.
Surgery
2525 W UNIVERSITY AVE, SUITE 403
MUNCIE, IN 47303
Delaware County (765) 289-6381
JOHNNY S SALAMEH MD
Psychiatry & Neurology (Neurology)
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 751-2600
RACHEL L HENCY FNP-C
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 284-2172
AHMED MOURTADA AL QADY MD, MBBCH
Internal Medicine
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-4306
CALVIN WILLHITE
Student in an Organized Health Care Education/Training Program
2525 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-4306

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 John Mccullough's NPI number?

The NPI number for John Mccullough is 1801628896. It was assigned to this individual provider in the NPPES registry on August 17, 2024.

Where is John Mccullough located?

John Mccullough practices at 2525 W University Ave, Muncie, IN 47303. The listed phone number is (765) 747-3883.

What is John Mccullough's specialty?

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

Is John Mccullough enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Mccullough was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.