Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline McCullough

Individual provider Physician Assistant · NPI 1598482432

Caroline McCullough is a Physician Assistant in Marietta, Georgia. Qualified in 2023, 3 years ago. Practices with Laureate Medical Group at Northside, LLC, a 74-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

4800 Olde Towne Pkwy Ste 400
Marietta, GA 30068-4424
Phone: (678) 718-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12143 (GA)

Record details

NPI number1598482432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2022
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address1110 W Peachtree St Nw, Atlanta, GA 30309-3609

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Laureate Medical Group At Northside, Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Marietta