Individual provider Active NPI

Courtney Dyan McCullough, FNP

  • Family Medicine Physician
  • Zanesville, OH
National Provider Identifier
1417707969
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN.CNP.0036085 Issued in OH
Practice address
955 Bethesda Dr
Zanesville, OH 43701-1840
Phone
(740) 586-6828
Fax
(740) 586-6511
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.0036085 OH Primary

Addresses

Primary practice location

955 Bethesda Dr
Zanesville, OH 43701-1840

Mailing address

955 Bethesda Dr
Zanesville, OH 43701-1840
Phone (740) 586-6828

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240429000141 OH Practitioner - Nurse Practitioner 3072953736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

1205 Cambridge Rd
Suite 100
Coshocton, OH 43812-2741
Phone (740) 891-9000

955 Bethesda Dr
Zanesville, OH 43701-1873
Phone (740) 450-6147

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036085OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers Current Accepting new patients
Genesis Medical Group LLC Family Medicine CurrentSince Jan 27, 2026 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jan 27, 2026 Accepting new patients
Muskingum Valley Health Centers CurrentSince May 13, 2024 Accepting new patients
Muskingum Valley Health Centers CurrentSince May 13, 2024 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

316 Clark St
Cambridge, OH 43725
Phone (740) 432-7600

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

1205 Cambridge Rd
#100
Coshocton, OH 43812
Phone (740) 622-9433

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

955 Bethesda Dr
Ste D
Zanesville, OH 43701
Phone (740) 454-5000

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1417707969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011840",
            "telephone_number": "740-586-6828",
            "fax_number": "740-586-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011840",
            "telephone_number": "740-586-6828",
            "fax_number": "740-586-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "COURTNEY",
        "middle_name": "DYAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.0036085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.