Brittany Johnson McCullough, FNP-C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

21818 Issued in AL

Practice address

134 Foothills Pkwy
Chelsea, AL 35043-8179

Phone

(205) 678-0861

NPI assigned

Jan 3, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Sylacauga Pediatric Clinic, LLC

  • Pediatrics Physician
  • Sylacauga, AL
  • NPI 1184776551
  NPD (past)
• Sylacauga Pediatric Clinic, LLC

  • Rural Health Clinic/Center
  • Sylacauga, AL
  • NPI 1912948373
  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1124667415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CLAY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351503413",
            "telephone_number": "256-245-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 FOOTHILLS PKWY",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438179",
            "telephone_number": "205-678-0861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Clay St",
            "address_purpose": "LOCATION",
            "city": "Sylacauga",
            "state": "AL",
            "postal_code": "351503413",
            "country_code": "US",
            "telephone_number": "256-245-3267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "BRITTANY",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "21818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Lynch, MSF RD LD
• Neva Marisa Mayhall, PHARMD
• Patricia Deaton McCamble, RN
• Matthew Justin McClain, RPSGT, CCSH
• Sarah Margaret McClure, DPT
• John Conner McNamara, DPT
• Stephen Wayne Milstead, PHARM.D.
• Jill Miranda, LPC
• Lindsey Moore
• Lilian Mwangi, MS CCC-SLP

• Pediatrics Physician in Chelsea, AL
• Providers in Chelsea, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.