Organization Active NPI

T Harvey McCulloch MD LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fairhope, AL
National Provider Identifier
1205792264
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
T HARVEY MCCULLOCH MD LLC
Practice address
16430 Scenic Highway 98
Fairhope, AL 36532-7136
Phone
(251) 850-5053
NPI assigned
Jan 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Thomas Harvey McCulloch, MDNPI 1750383790
Title
Owner
Phone
(251) 850-5053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

16430 Scenic Highway 98
Fairhope, AL 36532-7136

Mailing address

PO Box 1370
Fairhope, AL 36533-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212000811 AL Part B Supplier - Clinic/Group Practice 0648759399 Receives reassigned benefits from 1 practitioner
Practice locations: Fairhope, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1205792264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 SCENIC HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327136",
            "telephone_number": "251-850-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T HARVEY MCCULLOCH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-850-5053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.