Kitia McCullough

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1012 Riverclift Dr
Covington, GA 30016-8945

Phone

(718) 807-6845

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1366960213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 FLAT SHOALS RD SE STE C161",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946633",
            "telephone_number": "718-807-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 RIVERCLIFT DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168945",
            "telephone_number": "718-807-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "KITIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly McBryde
• Hannah Lynn McCall, MSN, FNP-C
• Sheila Monique McClary
• Joseph W McCord Jr., D.O.
• Tyra McCray
• Melisa McCullough
• Matthew McDaniel, DPT
• Keenan Jordan McDonald, PHARMD
• Rebecca Kathleen McElligott, DPT, PT
• Jenay McFadden-Campbell

• Home Health Aide in Covington, GA
• Providers in Covington, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.