Active NPI
Anna McCullough, RD
- Registered Dietitian
- Fulton, MS
National Provider Identifier
1053100222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1438
- Practice address
- 152 Dayspring Dr
Fulton, MS 38843-6038 - Phone
- (662) 397-0807
- NPI assigned
- May 5, 2025
- Last updated
- May 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1438 | MS | Primary |
Addresses
Primary practice location
152 Dayspring Dr
Fulton, MS 38843-6038
Mailing address
152 Dayspring Dr
Fulton, MS 38843-6038
Phone (662) 397-0807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1053100222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 DAYSPRING DR",
"city": "FULTON",
"state": "MS",
"postal_code": "388436038",
"telephone_number": "662-397-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 DAYSPRING DR",
"city": "FULTON",
"state": "MS",
"postal_code": "388436038",
"telephone_number": "662-397-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "ANNA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "1438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MS
- Mantachie Rural Health Care, Inc (Dorsey Family Medical Center)
- Marquis Dental Center
- Doris Elaine Marquis, D.M.D.
- George Joseph Marquis, D.M.D.
- Jerry McBride LLC, O.D.
- Demarea McJunkins
- Kelly C McKay, SPEECH THERAPIST
- Medplus Fulton , LLC (MedPlus Urgent Clinic)
- Mississippi State Department of Health
- Melissa Moore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.