Individual provider Active NPI

Tamara Kate McCullars, NP

  • Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1023609138
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN201636 Issued in GA
Practice address
2400 Bellevue Rd Ste 23
Dublin, GA 31021-2888
Phone
(478) 272-8580
Fax
(478) 275-0012
NPI assigned
Feb 1, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN201636 GA Primary

Addresses

Primary practice location

2400 Bellevue Rd Ste 23
Dublin, GA 31021-2888

Mailing address

2400 Bellevue Rd Ste 23
Dublin, GA 31021-2888
Phone (478) 272-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325001255 GA Practitioner - Nurse Practitioner 4880001528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center, LLP CurrentSince Sep 23, 2024 Accepting new patients

Locations

908 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 272-7411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tamara.mccullars@dublinmc.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1023609138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 23",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212888",
            "telephone_number": "478-272-8580",
            "fax_number": "478-275-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 23",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212888",
            "telephone_number": "478-272-8580",
            "fax_number": "478-275-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLARS",
        "first_name": "TAMARA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN201636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.