LOGAN WAYNE MCCULLEY NP
NPI 1912684036
Nurse Practitioner - Family in Collierville, TN
About Logan Wayne Mcculley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN WAYNE MCCULLEY NP (NPI 1912684036) is an individual family provider in Collierville, Tennessee, licensed in Tennessee (38942) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
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
Logan Wayne Mcculley Np 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 Logan Mcculley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
White House, TN 37188
- Reassigned Medicare billing, Tennessee enrollment
- 341 clinicians in this Medicare group
Hammond, LA 70403
- Reassigned Medicare billing, Mississippi enrollment
- 70 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLLIERVILLE, TN 38017
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 Logan Mcculley's NPI number?
The NPI number for Logan Mcculley is 1912684036. It was assigned to this individual provider in the NPPES registry on June 30, 2023.
Where is Logan Mcculley located?
Logan Mcculley practices at 1458 W Poplar Ave Ste 200, Collierville, TN 38017. The listed phone number is (901) 472-2935.
What is Logan Mcculley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Logan Mcculley enrolled in Medicare?
Yes. Logan Mcculley 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 Logan Mcculley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Logan Mcculley reassigns Medicare benefits to 2 organizations: The Little Clinic Of Tennessee LLC (White House, TN) and Wound Care Associates LLC (Hammond, LA). 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 Logan Mcculley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Logan Mcculley accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Logan Mcculley 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 Logan Mcculley was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Logan Wayne Mcculley, NP · NPI 1912684036
Family physician in Collierville, Tennessee. Individual provider, active in the CMS NPPES registry since June 30, 2023.
## Identity
- **NPI:** 1912684036 (Entity type: Individual)
- **Enumerated:** June 30, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 38942 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1458 W POPLAR AVE STE 200, Collierville, TN 38017-0631
- **Phone:** (901) 472-2935 · **Fax:** (901) 432-2439
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Little Clinic Of Tennessee LLC (NPI 1487848800, White House, TN); Wound Care Associates LLC (NPI 1568793750, Hammond, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912684036) · Data from the CMS NPPES public registry.