Active NPI
John Patrick McCullough, FNP-C
- Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 33790
- Practice address
- 501 20TH St Ste 503
Knoxville, TN 37916-1832 - Phone
- (865) 331-4321
- Fax
- (865) 374-2078
- NPI assigned
- Apr 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 33790 | TN | Primary |
| Family Medicine Physician | 207Q00000X | 33790 | TN | |
| Family Nurse Practitioner | 363LF0000X | 33790 | TN |
Addresses
Primary practice location
501 20TH St Ste 503
Knoxville, TN 37916-1832
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q082264 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Vermont Ave
Oak Ridge, TN 37830-6471
Phone (865) 482-1777
7326 Maynardville Pike
Suite 1500
Knoxville, TN 37938-3717
Phone (865) 925-9065
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33790 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Ut Urgent Care Centers LLC | Family Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Family Medicine | Current | Accepting new patients |
Locations
501 20th St
Ste 503
Knoxville, TN 37916
Phone (865) 331-4321
Dept 888179
Knoxville, TN 37995
1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
7326 Maynardville Pike
Ste 1500
Knoxville, TN 37938
Phone (865) 521-6174
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
100 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-1777
7744 Conner Rd
Powell, TN 37849
Phone (865) 546-9751
1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Family Medicine Physician
- Seymour, TN
- NPI 1801391453
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1538854658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 DICK LONAS RD UNIT 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091383",
"telephone_number": "865-584-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 20TH ST STE 503",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161832",
"telephone_number": "865-331-4321",
"fax_number": "865-374-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-05",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "33790",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "33790",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "33790",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q082264",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.