Individual provider Active NPI

Cramer Austin McCullen, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1770014763
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-02071 Issued in NC
Practice address
335 N Caswell Rd
Charlotte, NC 28204-2403
Phone
(704) 384-7980
Fax
(704) 384-7985
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 85596 SC
Hospitalist Physician 208M00000X 85596 SC
Family Medicine Physician 207Q00000X 2022-02071 NC Primary

Addresses

Primary practice location

335 N Caswell Rd
Charlotte, NC 28204-2403

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896
Phone (803) 434-6771

Other identifiers 1

IdentifierTypeStateIssuer
855961MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211007002675 SC Practitioner - Family Practice 2466729314
I20220919000712 NC Practitioner - Family Practice 2466729314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

335 N Caswell Rd
Charlotte, NC 28204-2470
Phone (704) 384-9475

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02071NCMDFamily Medicine Physician
85596SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Hospitalist CurrentSince Oct 14, 2022 Accepting new patients
University of Penn - Medical Group Hospitalist Current Accepting new patients
The Presbyterian Hospital CurrentSince Feb 27, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 27, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 14, 2022 Accepting new patients
The Presbyterian Hospital Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

10905 Providence Rd W
Ste G200
Charlotte, NC 28277
Phone (980) 488-4900

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: cmccullen1083344@direct.novanthealth.org

Organizations & group practices 8

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1770014763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N CASWELL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042403",
            "telephone_number": "704-384-7980",
            "fax_number": "704-384-7985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Richland Medical Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLEN",
        "first_name": "CRAMER",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "85596",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "85596",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-02071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855961",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.