Individual provider Active NPI

Timothy McCullough, PA

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1457727893
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3234 Issued in TN
Practice address
2400 Patterson St Ste 307
Nashville, TN 37203-6532
Phone
(615) 342-6900
Fax
(615) 342-6899
NPI assigned
Aug 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3234 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 307
Nashville, TN 37203-6532

Mailing address

2400 Patterson St Ste 307
Nashville, TN 37203-6532
Phone (615) 342-6900

Other practice location 1

1840 Medical Center Pkwy Ste 405
Murfreesboro, TN 37129-3237
Phone (615) 396-6829

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TIMOTHY.MCCULLOUGH@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170508002637 TN Practitioner - Physician Assistant 6103133376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians
Tristar Cardiovascular Surgery LLCGroup PAC ID 3476710765, 13 clinicians

Practice addresses (Care Compare)

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2400 Patterson St
Suite 307
Nashville, TN 37203-6532
Phone (615) 342-6900

2400 Patterson St
Suite 320
Nashville, TN 37203-6507
Phone (615) 342-6840

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100Reported as group
Quality
90.29
Promoting interoperability
100
Improvement activities
40
Cost
74.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3234TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Oct 1, 2025 Accepting new patients
Centennial Heart LLC Physician Assistant PastSince Feb 13, 2022 Accepting new patients

Locations

1840 Medical Center Pkwy
Ste 405
Murfreesboro, TN 37129
Phone (615) 396-4282

Interoperability endpoints

  • Direct secure messaging: timothy.mccullough.1@7654.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1457727893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 307",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036532",
            "telephone_number": "615-342-6900",
            "fax_number": "615-342-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 307",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036532",
            "telephone_number": "615-342-6900",
            "fax_number": "615-342-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Medical Center Pkwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293237",
            "country_code": "US",
            "telephone_number": "615-396-6829",
            "fax_number": "615-396-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "TIMOTHY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TIMOTHY.MCCULLOUGH@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St Ste 307",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372036532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.