Andrea McCullough-Hlobik, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS013635 Issued in PA

Practice address

9570 Nesbit Ferry Rd Ste 201
Alpharetta, GA 30022-6859

Phone

(770) 640-8119

Fax

(770) 988-5553

NPI assigned

Jun 13, 2006

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• The Pediatricplace PC

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1699048090
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1376586149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 NESBIT FERRY RD STE 201",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226859",
            "telephone_number": "770-640-8119",
            "fax_number": "770-988-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 NESBIT FERRY RD STE 201",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226859",
            "telephone_number": "770-640-8119",
            "fax_number": "770-988-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH-HLOBIK",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS013635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily McCook, BCBA
• Mark William McCord, MD
• Alexandra McCoy
• Francina McCoy
• Jeremi R McCray
• Amy McDaniel, OTR/L
• Kara Z McDaniel, LPC
• Michael Lanier McDaniel, M.D.
• Tristen McDaniel
• Roy A. McDonald, D.D.S., P.C.

• Pediatrics Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.