NPIMap

Individual provider Active NPI

Tammy P. McCullough, FNP-C

  • Primary Care Nurse Practitioner
  • Brownwood, TX
National Provider Identifier
1316974082
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
649310 Issued in TX
Practice address
2100 Crockett Dr.
Brownwood, TX 76801-5120
Phone
(325) 646-0704
Fax
(888) 895-1214
NPI assigned
Jun 27, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 649310 TX Primary

Addresses

Primary practice location

2100 Crockett Dr.
Brownwood, TX 76801-5120

Mailing address

1100 W Reynosa Ave
De Leon, TX 76444-1630
Phone (254) 893-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000656 TX Practitioner - Nurse Practitioner 9638279755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 S Park Dr
Brownwood, TX 76801-5918
Phone (325) 646-0704

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2011 Accepting new patients
Cross Timbers Health Clinics, Inc. Current Accepting new patients
Hendrick Provider Network CurrentSince Mar 1, 2017 Accepting new patients
Hendrick Provider Network CurrentSince Mar 1, 2017 Accepting new patients
Cross Timbers Health Clinics, Inc. CurrentSince Sep 8, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2011 Accepting new patients
Cross Timbers Health Clinics, Inc CurrentSince Sep 8, 2020 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

104 S Park Dr
Brownwood, TX 76801
Phone (325) 643-5695

109 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3300

2100 Crockett Dr
Brownwood, TX 76801
Phone (325) 646-0704

2371 Crockett Dr
Ste 102
Brownwood, TX 76801
Phone (325) 341-1140

3804 Highway 377 S
Brownwood, TX 76801
Phone (325) 643-5167

1100 W Reynosa Ave
De Leon, TX 76444
Phone (254) 893-5895

135 River North Blvd
Stephenville, TX 76401
Phone (254) 965-2810

Interoperability endpoints

  • Direct secure messaging: tammy.mccullough@ahctx.eclinicaldirectplus.com
  • Direct secure messaging: tmccul12@yourcarecommunity.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1316974082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W REYNOSA AVE",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764441630",
            "telephone_number": "254-893-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CROCKETT DR.",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015120",
            "telephone_number": "325-646-0704",
            "fax_number": "888-895-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "TAMMY",
        "middle_name": "P.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "649310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.