Individual provider Active NPI

George M McCullars, M.D., PH.D.

  • Internal Medicine Physician
  • Daphne, AL
National Provider Identifier
1700879418
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.10172 Issued in AL
Practice address
1 Timber Way Ste 202
Daphne, AL 36527-5634
Phone
(251) 342-1808
Fax
(251) 342-1838
NPI assigned
Aug 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.10172 AL Primary

Addresses

Primary practice location

1 Timber Way Ste 202
Daphne, AL 36527-5634

Mailing address

11035 Celeste Rd
Saraland, AL 36571-9707
Phone (251) 342-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2014 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.10172ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McCullars Medical Services LLC CurrentSince May 25, 2021 Accepting new patients

Locations

1 Timber Way
Ste 202
Daphne, AL 36527
Phone (251) 342-1808

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1700879418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 CELESTE RD",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365719707",
            "telephone_number": "251-342-1808",
            "fax_number": "251-342-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIMBER WAY STE 202",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365275634",
            "telephone_number": "251-342-1808",
            "fax_number": "251-342-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLARS",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-27",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.10172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.