NPIMap

Individual provider Active NPI

Norman Hugh McCulloch Jr., M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Winder, GA
National Provider Identifier
1679836449
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
78090 Issued in GA
Practice address
316 N Broad St
Winder, GA 30680-2150
Phone
(770) 307-5348
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 78090 GA Primary
Internal Medicine Physician 207R00000X 272204 NY

Addresses

Primary practice location

316 N Broad St
Winder, GA 30680-2150

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

259 1st St
Mineola, NY 11501-3957
Phone (516) 663-2051

Other practice location 2

675 White Sulphur Rd
Gainesville, GA 30501-8921
Phone (770) 219-0963

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmcculloch139615@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627000667 GA Practitioner - Internal Medicine 7214153741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

316 N Broad St
Winder, GA 30680-2150
Phone (770) 307-5400

Hospital & facility affiliations

  • Tugaloo Home Health Agency, an Amedisy Company Home health agency, Gainesville, GA, CCN 117305
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Enhabit Home Health Home health agency, Gainesville, GA, CCN 117021
  • Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue157
Removal of skin lesions18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78090GAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Center, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Hamilton Physician Group Inc CurrentSince Jun 1, 2017 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Interoperability endpoints

  • Direct secure messaging: nmcculloch139615@nghs.gadirect.net

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1679836449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802150",
            "telephone_number": "770-307-5348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 1st St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013957",
            "country_code": "US",
            "telephone_number": "516-663-2051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 White Sulphur Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305018921",
            "country_code": "US",
            "telephone_number": "770-219-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "NORMAN",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "78090",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "272204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmcculloch139615@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "316 N Broad St",
            "city": "Winder",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306802150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.