Organization Active NPI

McCulley Allergy Sinus & Asthma

  • Allergy & Immunology Physician
  • Germantown, TN
National Provider Identifier
1386194843
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MCCULLEY ALLERGY SINUS & ASTHMA
Practice address
2155 West St
Germantown, TN 38138-3856
Phone
(901) 623-3323
Fax
(901) 623-3324
NPI assigned
Oct 9, 2016
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Cathy Maharrey
Title
Administrator
Phone
(901) 623-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

2155 West St
Germantown, TN 38138-3856

Mailing address

2155 West St
Germantown, TN 38138-3856
Phone (901) 623-3323

Other practice location 1

7676 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 536-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161228000020 TN Part B Supplier - Clinic/Group Practice 2668753922 Receives reassigned benefits from 8 practitioners
Practice locations: Germantown, TN; Jackson, TN
O20180920002361 MS Part B Supplier - Clinic/Group Practice 2668753922 Receives reassigned benefits from 6 practitioners
Practice locations: Southaven, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0888444McCulley Allergy, Sinus & Asthma7676 Airways Blvd, Southaven, MS 38671Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

9851 Highway 178
Unit B
Olive Branch, MS 38654
Phone (662) 546-8676

11762 Douglass St
Arlington, TN 38002

11762 Douglass St
Ste 101
Arlington, TN 38002
Phone (901) 586-3030

11762 Douglass St
Ste 105
Arlington, TN 38002

2995 Appling Rd
Ste 103
Bartlett, TN 38133
Phone (901) 203-9333

3014 Greystone Sq
Jackson, TN 38305
Phone (731) 438-8020

5270 Poplar Ave
Memphis, TN 38119

5270 Poplar Ave
Ste 105
Memphis, TN 38119

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14678/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1386194843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383856",
            "telephone_number": "901-623-3323",
            "fax_number": "901-623-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383856",
            "telephone_number": "901-623-3323",
            "fax_number": "901-623-3324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7676 Airways Blvd",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715304",
            "country_code": "US",
            "telephone_number": "662-536-7640",
            "fax_number": "662-536-7639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCCULLEY ALLERGY SINUS & ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "MAHARREY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-623-3323"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.