Individual provider Active NPI

John Patrick Cuellar III, M.D.

  • Obstetrics & Gynecology Physician
  • Mount Airy, NC
National Provider Identifier
1639134422
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37813 Issued in NC
Practice address
510 S South St
Mount Airy, NC 27030-4422
Phone
(336) 786-4522
Fax
(336) 789-3025
NPI assigned
Apr 18, 2006
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37813 NC Primary

Addresses

Primary practice location

510 S South St
Mount Airy, NC 27030-4422

Mailing address

PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 719-7112

Other practice location 1

15 Skyland Inn Dr
Arden, NC 28704-7714
Phone (828) 654-5005

Other identifiers 2

IdentifierTypeStateIssuer
Q095518MedicaidTN
8926446MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, RI, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031201000460 NC Practitioner - Obstetrics/Gynecology 9830094176 Reassigns benefits to 6 organizations
I20240326000476 RI Practitioner - Obstetrics/Gynecology 9830094176 Reassigns benefits to 1 organization
I20250111000218 TN Practitioner - Obstetrics/Gynecology 9830094176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37813NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Sanders Perinatal Center CurrentSince Sep 3, 2024 Accepting new patients
Caromont Medical Group Inc Obstetrics & Gynecology CurrentSince Jan 2, 2025 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
North Carolina MG, LLC Obstetrics & Gynecology CurrentSince Jan 27, 2026 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Caromont Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Lifespan Physician Group, Inc. Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Dec 7, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 1, 2024 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Aug 1, 2023 Accepting new patients
DLP Maria Parham Physician Practices, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
Caromont Medical Group Inc CurrentSince Jan 2, 2025 Accepting new patients
Scotland Memorial Hospital, Inc Obstetrics & Gynecology CurrentSince Dec 7, 2025 Accepting new patients

Locations

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

105 McAlpine Ln
Laurinburg, NC 28352
Phone (910) 277-3331

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

1209 SE Industry Dr
Oxford, NC 27565
Phone (252) 492-8576

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020

Dept 888247
Knoxville, TN 37995

Interoperability endpoints

  • Direct secure messaging: jcuellar1214811@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: john.cuellar.1@20247.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1639134422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-719-7112",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304422",
            "telephone_number": "336-786-4522",
            "fax_number": "336-789-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Skyland Inn Dr",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287047714",
            "country_code": "US",
            "telephone_number": "828-654-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "37813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q095518",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8926446",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.