Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Daniel McCullough III, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801628896

John Daniel McCullough III, PA-C is a Physician Assistant in Muncie, Indiana. Graduated from Emory University School of Medicine in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana.

Years since qualifying
1
Trained at
Emory University School of Medicine
Licensed in
IN
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2525 W University Ave
Muncie, IN 47303-3421
Phone: (765) 747-3883
Fax: (765) 448-7671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1462 Clifton Rd Ne Ste 280, Atlanta, GA 30322-1063 — (404) 727-7825

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10005225A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801628896
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 17, 2024
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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