Emily Campolong Culler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4462 Issued in SC

Practice address

1017 Fair St
Camden, SC 29020-4408

Phone

(803) 424-1260

Fax

(803) 424-1230

NPI assigned

Jun 5, 2022

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 SC

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

Merit-based Incentive Payment System (MIPS)

Final score

89.89 of 100Reported as group

Quality

90.18

Improvement activities

40

Cost

79.37

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.

• Providence Family Practice LLC

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1528066115
  Medicare reassignment
• Camden Family Care LLC

  • Family Medicine Physician
  • Camden, SC
  • NPI 1144277922
  NPD
• Providence Orthopaedic Group LLC

  dba Moore Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1255308342
  NPD (past)

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1306575550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 FAIR ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204408",
            "telephone_number": "803-424-1260",
            "fax_number": "803-424-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FAIR ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204408",
            "telephone_number": "803-424-1260",
            "fax_number": "803-424-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLER",
        "first_name": "EMILY",
        "middle_name": "CAMPOLONG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF MEDICAL EXAMINERS",
            "identifier": "4462",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Cotes
• County of Kershaw
• Jason R Cox, RPH
• Lori Cox
• CSC Acquisition, LLC (Columbia Skin Clinic, LLC)
• Tava T. Cunningham, PHARMD
• April Kennington Currie, OTR
• Brittany Curry
• Destiny Dagnan
• Ashley Latrease Danzy, APRN

• Physician Assistant in Camden, SC
• Providers in Camden, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.