Individual provider Active NPI

Edward Merritt Cullum, M.D.

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1942423108
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
30065 Issued in AL
Practice address
833 Saint Vincents Dr Ste 300
Pob III
Birmingham, AL 35205-1612
Phone
(205) 939-4512
Fax
(205) 939-4519
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 30065 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr Ste 300
Pob III
Birmingham, AL 35205-1612

Mailing address

833 Saint Vincents Dr Ste 300
Pob III
Birmingham, AL 35205-1612
Phone (205) 939-4512

Other identifiers 2

IdentifierTypeStateIssuer
149109MedicaidAL
51136699OtherALBCBS OF ALABAMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edwardmcullum@southviewm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000280 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 2668439993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Peripheral Vascular Disease
Education
University of South Carolina School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southview Medical Group, PCGroup PAC ID 8729979794, 40 clinicians

Practice addresses (Care Compare)

833 Saint Vincents Dr
Suite 300
Birmingham, AL 35205-1612
Phone (205) 933-4640

833 St Vincents Dr
Suite 502
Birmingham, AL 35205-1613
Phone (205) 933-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30065ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Aug 18, 2017 Accepting new patients
Southview Medical Group, PC CurrentSince Aug 19, 2013 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Jun 23, 2018 Accepting new patients
Uab Southview LLC Past Accepting new patients
Nephrology Medical Associates of Georgia LLC Past Accepting new patients
Central Seton Saint Thomas Health Services Past Accepting new patients

Locations

833 Saint Vincents Dr
Ste 502
Birmingham, AL 35205
Phone (205) 933-4400

833 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 558-4067

833 Saint Vincents Dr
Ste 300
Birmingham, AL 35205
Phone (205) 933-4640

7191 Cahaba Valley Rd
Ste 104
Hoover, AL 35242
Phone (205) 408-6600

Interoperability endpoints

  • Direct secure messaging: ecullum@cpc.allscriptsdirect.net

Organizations & group practices 6

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 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1942423108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 300",
            "address_2": "POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051612",
            "telephone_number": "205-939-4512",
            "fax_number": "205-939-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 300",
            "address_2": "POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051612",
            "telephone_number": "205-939-4512",
            "fax_number": "205-939-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLUM",
        "first_name": "EDWARD",
        "middle_name": "MERRITT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "30065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149109",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51136699",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwardmcullum@southviewm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "833 Saint Vincents Dr Ste 300",
            "address_2": "POB III",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352051612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.