Shirria D. McCullough, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007395 Issued in NC

Practice address

3011 Hwy 42 W
Wilson, NC 27896-8005

Phone

(252) 991-3985

Fax

(252) 991-3993

NPI assigned

Jul 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC, MD3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Generation in Christ IncorporatedGroup PAC ID 6800138835, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smccullough@wchd.curemd.direct-ci.com

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.

• Positive Generation in Christ, Incorporated

  • Community/Behavioral Health Agency
  • Tarboro, NC
  • NPI 1942562541

  SC

  Medicare reassignment Care Compare group NPD
• D-Pom L.L.C

  • Community/Behavioral Health Agency
  • Tarboro, NC
  • NPI 1609076942
  Medicare reassignment NPD
• Positive Generation in Christ, Incorporated

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1841846615
  NPD

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1811243959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR",
            "address_2": "STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442",
            "telephone_number": "984-215-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HWY 42 W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968005",
            "telephone_number": "252-991-3985",
            "fax_number": "252-991-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "SHIRRIA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie McCalston, CPT
• Connie Ann McCormick
• Katrina L McCourt, PMHNP-BC, FNP
• Marcus McCoy
• Tisheka Bell McCoy, QP
• Stephanie Neville McDaniel
• Cassie McGee
• McIntyre Consulting, Inc
• Jessica Heather McKee, D.O.
• Mariah Mann McKellar, M.D.

• Clinical Social Worker in Wilson, NC
• Providers in Wilson, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.