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LOGAN WAYNE MCCULLEY NP
NPI 1912684036
Nurse Practitioner - Family in Collierville, TN

Active since June 30, 2023PECOS EnrolledAccepts Medicare Assignment
1458 W POPLAR AVE STE 200, COLLIERVILLE, TN 38017(901) 472-2935(901) 432-2439 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2025, Jun 9, 2025 (2 updates tracked since 2025).

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

NPI1912684036
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLOGAN WAYNE MCCULLEYCredential: NP
Location Address1458 W POPLAR AVE STE 200Collierville, TN 38017-0631
Mailing AddressPo Box 1089Hammond, LA 70404-1089 · (985) 892-7070 · Fax (985) 892-7017
Phone(901) 472-2935
Fax(901) 432-2439
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 30, 2023
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1912684036 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 TN · 38942
1458 W POPLAR AVE STE 200, Collierville, TN 38017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

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.

PECOS PAC ID4385155134
PECOS Enrollment IDI20250618000507, I20250815004390
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 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.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

MRS. DEANNA LOUISE JACKSON CRNP
Nurse Practitioner (Family)
1458 W POPLAR AVE STE 200
COLLIERVILLE, TN 38017
Shelby County (901) 472-2935
CARLENE MCALLISTER FNP
Nurse Practitioner (Family)
1458 W POPLAR AVE STE 200
COLLIERVILLE, TN 38017
Shelby County (901) 472-2935

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.

What insurance does Logan Mcculley accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 with the weekly NPPES data releases published by CMS.