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

Kathleen Rose McCullough, PA

Individual provider Physician Assistant · NPI 1518202068

Kathleen Rose McCullough, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2012
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

4525 Cameron Valley Pkwy Ste 4100
Charlotte, NC 28211-4369
Phone: (704) 355-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 468-8877
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 302-9462
  • 1585 Forney Creek Pkwy, Denver, NC 28037-9514 — (980) 212-4000
  • 441 McAlister Rd, Lincolnton, NC 28092-4126 — (980) 212-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07415 (NC)

Record details

NPI number1518202068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 10, 2012
Last updated in NPPESJuly 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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