MAGDALENE EDITH MCCULLOUGH PA
NPI 1821611310
Physician Assistant - Medical in Jacksonville, FL

Q: What is Magdalene Mccullough's NPI number?

The NPI number for Magdalene Mccullough is 1821611310. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Q: What is Magdalene Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since May 19, 2020PECOS Enrolled

655 WEST 8TH STREET, JACKSONVILLE, FL 32209(904) 244-0411 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Magdalene Edith Mccullough Pa NPPES

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

MAGDALENE EDITH MCCULLOUGH PA (NPI 1821611310) is an individual medical provider in Jacksonville, Florida, licensed in Florida (9117453) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821611310

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMAGDALENE EDITH MCCULLOUGHCredential: PA

Location Address655 WEST 8TH STREETJacksonville, FL 32209-4870

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-0411

Phone(904) 244-0411

Sole ProprietorNo

Enumeration DateMay 19, 2020

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1821611310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · 9117453

Also ListedPhysician AssistantTaxonomy 363A00000X · License 024907 (NY)

655 WEST 8TH STREET, Jacksonville, FL 32209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Magdalene Edith Mccullough Pa 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.

Other Providers at the Same Location NPPES 10

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

DR. DIANE GOMES PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

655 WEST 8TH STREET
JACKSONVILLE, FL 32209

Duval County (904) 244-4571

DR. LAURA BENEDICT PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

655 WEST 8TH STREET, SHANDS JACKSONVILLE DEPARTMENT OF PHARMACY
JACKSONVILLE, FL 32209

Duval County (904) 244-4157

SHANNON BLIZZARD USZTOK PHARMD

Pharmacist

655 WEST 8TH STREET, PHARMACY, #83
JACKSONVILLE, FL 32209

Duval County (904) 244-0354

BERNARD MING YIN HSIA PHARMD

Pharmacist

655 WEST 8TH STREET, DEPARTMENT OF PHARMACY
JACKSONVILLE, FL 32209

Duval County (904) 244-1112

MS. MERYAM JAN M.D.

Pediatrics

655 WEST 8TH STREET
JACKSONVILLE, FL 32209

Duval County (904) 633-4199

DR. LUIS ORTEGA MD

Internal Medicine (Cardiovascular Disease)

655 WEST 8TH STREET, DIVISION OF CARDIOLOGY-ACC BUILDING 5TH FLOOR
JACKSONVILLE, FL 32209

Duval County (904) 244-2655

CRISTINA MICHELLE FONT MD

Internal Medicine (Cardiovascular Disease)

655 WEST 8TH STREET
JACKSONVILLE, FL 32209

Duval County (904) 244-3932

WILLIAM PATRICK DISHONG M.D.

Emergency Medicine

655 WEST 8TH STREET, UNIVERSITY OF FLORIDA, DEPARTMENT OF EMERGENCY MEDICINE
JACKSONVILLE, FL 32209

Duval County (904) 244-5044

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 Magdalene Mccullough's NPI number?

The NPI number for Magdalene Mccullough is 1821611310. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Magdalene Mccullough located?

Magdalene Mccullough practices at 655 West 8th Street, Jacksonville, FL 32209. The listed phone number is (904) 244-0411.

What is Magdalene Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Magdalene Mccullough enrolled in Medicare?

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

What insurance does Magdalene Mccullough accept?

Health plans from AvMed list Magdalene 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 Magdalene Mccullough was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.