Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Annmarie Ahern McCullough, PA

Individual provider Surgical Physician Assistant · NPI 1174170575

Katherine Annmarie Ahern McCullough, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with The Presbyterian Hospital, a 407-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

125 Queens Rd Ste 430
Charlotte, NC 28204-3215
Phone: (980) 302-6300
Fax: (980) 302-6305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 — (980) 302-8840

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1174170575
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Presbyterian Hospital — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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