Individual provider Active NPI

Hayley McCullough, DO

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1104490028
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
83577 Issued in SC
Practice address
PO Box 23321
New York, NY 10087-4321
Phone
(843) 876-1344
NPI assigned
May 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 83577 SC Primary

Addresses

Primary practice location

PO Box 23321
New York, NY 10087-4321

Mailing address

PO Box 23321
New York, NY 10087-4321

Other practice location 1

Prisma Health Emergency Medicine Department
14 Medical Park, Suite 350
Columbia, SC 29203
Phone (803) 434-7088

Other practice location 2

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4780

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@Direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907002152 SC Practitioner - Emergency Medicine 2567866015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Sep 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Self Medical Group Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Self Medical Group Current Accepting new patients
Musc Community Physicians Emergency Medicine Current Accepting new patients
McLeod Health Cheraw Emergency Medicine CurrentSince Aug 14, 2023 Accepting new patients
McLeod Health Cheraw CurrentSince Aug 14, 2023 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: hgerber85345@directmcleodehealth.org
  • Direct secure messaging: hgerber540766@selfregional.direct-ci.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1104490028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321",
            "telephone_number": "843-876-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Prisma Health Emergency Medicine Department",
            "address_2": "14 Medical Park, Suite 350",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-7088",
            "fax_number": "803-434-3946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-725-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "HAYLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "83577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@Direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "PO Box 23321",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100874321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.