Dana McCullar, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1113756 Issued in AL

Practice address

87 19TH St W Ste 200
Jasper, AL 35501-5430

Phone

(205) 705-3100

Fax

(205) 705-3173

NPI assigned

Sep 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Hill Family Care LLCGroup PAC ID 1951752708, 7 clinicians

Smith Lake Family Care LLCGroup PAC ID 7911319777, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Carbon Hill Family Care LLC

  • Family Medicine Physician
  • Carbon Hill, AL
  • NPI 1255113551
  Medicare reassignment Care Compare group NPD
• Jasper Dermatology, LLC

  dba Jasper Dermatology at Rastore

  • Dermatology Physician
  • Jasper, AL
  • NPI 1801622642
  Medicare reassignment NPD Authorized official
• Smith Lake Family Care LLC

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1306447776
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1215286026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1571",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355021571",
            "telephone_number": "205-221-9351",
            "fax_number": "205-221-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 19TH ST W STE 200",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015430",
            "telephone_number": "205-705-3100",
            "fax_number": "205-705-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLAR",
        "first_name": "DANA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1113756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003878",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Wade Martin, RPH
• Isaiah Kindrick Martin, ALC
• Mary Mallory Martin, CRNP
• Robert Martin, MS
• Alan Clayton McCool, M.D.
• Daniel Kirk McDonald, M.D.
• Bruce Campbell McFadden, PA
• Ashley C Merchant McLean, CRNP
• Allison Nicole McMullen, CRNP
• Nathan McMurrey, MS

• Nurse Practitioner in Jasper, AL
• Providers in Jasper, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.