Individual provider Active NPI

Lauren Elizabeth McCullough, DPT

  • Physical Therapist
  • Fayetteville, GA
National Provider Identifier
1336557453
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011581 Issued in GA
Practice address
1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538
Phone
(770) 460-8609
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011581 GA Primary

Addresses

Primary practice location

1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

21 Ortho Ln
Atlanta, GA 30329-2315
Phone (404) 778-6390

Other practice location 2

909 S Park St
Ste B
Carrollton, GA 30117-4456
Phone (770) 834-8702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317000678 GA Practitioner - Physical Therapist in Private Practice 9234435298 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercer University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy, IncGroup PAC ID 1557395209, 69 clinicians
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

1275 Hwy 54 W 200
Fayetteville, GA 30214-4538
Phone (770) 460-8609

21 Ortho LN
Atlanta, GA 30329-2315
Phone (404) 778-3350

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

400 Tower Rd NE
Suite 140
Marietta, GA 30060-9412
Phone (770) 419-8437

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Feb 25, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Feb 25, 2022 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist Past Accepting new patients
Dekalb Comprehensive Physical Therapy Limited Partnership Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1275 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 460-8609

4450 Falcon Pkwy
Flowery Branch, GA 30542
Phone (404) 544-1272

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

8259 Wicker Ave
Saint John, IN 46373
Phone (219) 365-6560

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1336557453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 HIGHWAY 54 W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144538",
            "telephone_number": "770-460-8609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Ortho Ln",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292315",
            "country_code": "US",
            "telephone_number": "404-778-6390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 S Park St",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301174456",
            "country_code": "US",
            "telephone_number": "770-834-8702",
            "fax_number": "770-830-8106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.