Active NPI
Cullan Robert Reilly, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 592
- Practice address
- 810 Mitchell Ave
Salisbury, NC 28144-6253 - Phone
- (704) 216-5633
- Fax
- (704) 639-0785
- NPI assigned
- Jan 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 592 | NC | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 592 | NC | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | BL8403747-WR1120 | IL |
Addresses
Primary practice location
810 Mitchell Ave
Salisbury, NC 28144-6253
Mailing address
PO Box 602362
Charlotte, NC 28260-2362
Phone (704) 216-5633
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | creilly43780@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Mitchell Ave
Salisbury, NC 28144-6253
Phone (704) 216-5633
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 29 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 515 |
| Removal or shaving of skin growth | 95 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BL8403747-WR1120 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 592 | NC | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Erickson Health Medical Group of North Carolina, PC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730
144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730
2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250
1035 Lincolnton Rd
Ste F
Salisbury, NC 28144
Phone (704) 216-5633
810 Mitchell Ave
Salisbury, NC 28144
Phone (704) 216-2633
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- creilly43780@direct.novanthealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Geriatric Medicine (Internal Medicine) Physician
- Matthews, NC
- NPI 1396241030
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Orthopaedic Surgery Physician
- Salisbury, NC
- NPI 1770827388
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1043581812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602362",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602362",
"telephone_number": "704-216-5633",
"fax_number": "704-639-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MITCHELL AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281446253",
"telephone_number": "704-216-5633",
"fax_number": "704-639-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "CULLAN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "592",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "592",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "BL8403747-WR1120",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "creilly43780@direct.novanthealth.org",
"affiliation": "N",
"address_1": "810 Mitchell Ave",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281446253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.