Individual provider Active NPI

Allison Tucker McCulley

  • Family Nurse Practitioner
  • Olive Branch, MS
National Provider Identifier
1215705488
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906302 Issued in MS
Practice address
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone
(901) 516-1290
Fax
(901) 516-1220
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906302 MS
Nurse Practitioner 363L00000X 34471 TN
Family Nurse Practitioner 363LF0000X 906302 MS Primary

Addresses

Primary practice location

4250 Bethel Rd
Olive Branch, MS 38654-8737

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240716004233 TN Practitioner - Nurse Practitioner 0345785192 Reassigns benefits to 5 organizations
I20250924003882 MS Practitioner - Nurse Practitioner 0345785192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians
Methodist South Emergency Physicians, PLLCGroup PAC ID 6406205608, 48 clinicians
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians
Germantown Emergency Physicians, PLLCGroup PAC ID 7214386812, 29 clinicians

Practice addresses (Care Compare)

1203 Medical Park Dr
Oxford, MS 38655-5327
Phone (662) 234-7601

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-6000

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
906302MSMDNurse Practitioner
34471TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Mar 15, 2025 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Mar 15, 2025 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Mar 15, 2025 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Mar 15, 2025 Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Jun 10, 2024 Accepting new patients
Right Track Medical Group, Inc CurrentSince Aug 1, 2025 Accepting new patients
Beacon Behavioral of Mississippi, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

9035 E Sandidge Rd
Ste 201
Olive Branch, MS 38654
Phone (662) 408-4631

1203 Medical Park Dr
Oxford, MS 38655
Phone (662) 513-4399

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

4428 S Eason Blvd
Tupelo, MS 38801
Phone (601) 844-5080

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Organizations & group practices 8

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 3

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1215705488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BETHEL RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548737",
            "telephone_number": "901-516-1290",
            "fax_number": "901-516-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "ALLISON",
        "middle_name": "TUCKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906302",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.