Heath Byron McCullough, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT299 Issued in TN

Practice address

183 Hospital Rd
Suite B
Winchester, TN 37398-2470

Phone

(931) 968-1232

Fax

(931) 968-9869

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104945906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 CRAWFORD LN",
            "city": "BELVIDERE",
            "state": "TN",
            "postal_code": "373062152",
            "telephone_number": "931-967-8960",
            "fax_number": "931-968-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982470",
            "telephone_number": "931-968-1232",
            "fax_number": "931-968-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "HEATH",
        "middle_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "AT299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy R Martin, APN
• Tracey Mason
• Hailey Rose Matlock, OTD, OTR/L
• Karen R Maze
• Mary McClain, FNP-C
• Cynthia Kennedy McDonald, D.PH.
• Jessica Leigh McNeese, NP
• Med-Trans Corporation
• Allison Meeks, CCC-SLP
• Chastidy Meeks

• Athletic Trainer in Winchester, TN
• Providers in Winchester, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.