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

Dr. Prentice Michael McCullough, MD

Individual provider Anesthesiology Physician · NPI 1619950904

Dr. Prentice Michael McCullough, MD is an Anesthesiology in Carrollton, Georgia. Graduated from Js Weill Medical College, Cornell University in 2000, 26 years ago. Practices with Tmc-West Georgia Anesthesia Associates Inc, a 67-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
26
Trained at
Js Weill Medical College, Cornell University
Licensed in
FL, GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

705 Dixie St
Carrollton, GA 30117-3818
Phone: (770) 812-5730
Fax: (770) 838-8563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 58806 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence ME90751 (FL)

Record details

NPI number1619950904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESJune 16, 2010

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Tmc-West Georgia Anesthesia Associates Inc. — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carrollton