Kevin Michael McCullough, PA-C
Kevin Michael McCullough, PA-C is a Physician Assistant in Fort Nill, South Carolina. Qualified in 2017, 9 years ago. Practices with Orthocarolina, PA, a 301-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.
- Years since qualifying
- 9
- Licensed in
- NC, SC
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
601 S Sutton Rd Ste 101Fort Nill, SC 29715
Phone: (803) 328-6306
Fax: (803) 909-6451
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4394 (SC) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 0010-07689 (NC) |
Record details
| NPI number | 1285147793 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 7, 2017 |
| Last updated in NPPES | October 20, 2023 |
| Certification date | October 20, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Orthocarolina, Pa — 301 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |