Active NPI
George M McCullars, M.D., PH.D.
- Internal Medicine Physician
- Daphne, AL
National Provider Identifier
1700879418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.10172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.10172 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCullars Medical Services LLC | Current | 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.
-
- Primary Care Clinic/Center
- Daphne, AL
- NPI 1326612946
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.