Terica McCullough, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN236530 Issued in GA

Practice address

110 Goshen Rd
Rincon, GA 31326-5744

Phone

(912) 826-5239

NPI assigned

Apr 27, 2021

Last updated

Aug 21, 2022By 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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Effingham Hospital IncGroup PAC ID 1254628092, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Effingham Health System Hospital, Springfield, GA, CCN 111306

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Effingham Hospital, Inc.

  dba Effingham Health System

  • Critical Access Hospital
  • Springfield, GA
  • NPI 1811962756
  Medicare reassignment Care Compare group NPD
• Effingham Hospital, Inc.

  dba Effingham Ear Nose and Throat

  • Otolaryngology Physician
  • Springfield, GA
  • NPI 1881588028
  NPD
• Effingham Hospital, Inc.

  dba Effingham Family Medicine at Guyton

  • Rural Health Clinic/Center
  • Guyton, GA
  • NPI 1164651022
  NPD (past)
• Effingham Hospital, Inc.

  dba Effingham Occupational Medicine

  • Occupational Medicine Physician
  • Port Wentworth, GA
  • NPI 1245668417
  NPD (past)
• Effingham Hospital, Inc.

  dba Effingham Family Medicine at Goshen

  • Rural Health Clinic/Center
  • Rincon, GA
  • NPI 1811020407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Effingham Hospital, Inc.

  dba Effingham Health System

  • Critical Access Hospital
  • Springfield, GA
  • NPI 1811962756
  Care Compare affiliation

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1417539537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GOSHEN RD",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265744",
            "telephone_number": "912-826-5239",
            "fax_number": "912-826-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GOSHEN RD",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265744",
            "telephone_number": "912-826-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Lakepointe Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314073551",
            "country_code": "US",
            "telephone_number": "912-346-2987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "TERICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN236530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Mayes, M.ED. CF-SLP
• Landon McBurnett, PA-C
• Cassidy McClendon
• Leah McClinton, RBT
• Maggie McClurg
• Alayna McDaniel
• Mary McDaniel
• Patricia Leggett McDaniel, RBT
• Sarah McDaniel
• Joel Larkin McMillan, RPH

• Family Nurse Practitioner in Rincon, GA
• Providers in Rincon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.