Individual provider Active NPI

Melisa McCullough

  • Phlebotomy Technician
  • Covington, GA
National Provider Identifier
1225972243
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
M6T7R6D3 Issued in GA
Practice address
15 Falcons Xing
Covington, GA 30016-8164
Phone
(470) 219-9843
NPI assigned
Apr 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X M6T7R6D3 GA Primary

Addresses

Primary practice location

15 Falcons Xing
Covington, GA 30016-8164

Mailing address

15 Falcons Xing
Covington, GA 30016-8164
Phone (470) 219-9843

Other practice location 1

1318 Olympic Ct SW Ste C
Conyers, GA 30012-5260
Phone (470) 219-9843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M6T7R6D3GAMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1225972243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FALCONS XING",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168164",
            "telephone_number": "470-219-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FALCONS XING",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168164",
            "telephone_number": "470-219-9843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 Olympic Ct SW Ste C",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300125260",
            "country_code": "US",
            "telephone_number": "470-219-9843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MELISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "M6T7R6D3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.