Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alishia Mary McCoullough, FNP-C, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1982197570

Alishia Mary McCoullough, FNP-C, FNP-BC is a Nurse Practitioner in Augusta, Georgia. Qualified in 2018, 8 years ago. Practices with Augusta ENT PC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1350 Walton Way
Augusta, GA 30901
Phone: (706) 722-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Walton Way, Augusta, GA 30901-2612 — (706) 722-9011

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN266834 (GA)

Record details

NPI number1982197570
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , FNP-BC
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESJuly 11, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Augusta Ent Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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