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

Lori A McCullough, PA-C

Individual provider Medical Physician Assistant · NPI 1336312693

Lori A McCullough, PA-C is a Physician Assistant in Belleville, Illinois. Graduated from Saint Louis University School of Medicine in 2001, 25 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
25
Trained at
Saint Louis University School of Medicine
Licensed in
IL, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 257-6220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1711 W Highway 50, O Fallon, IL 62269-1681 — (618) 206-5076
  • 6400 Clayton Rd, Saint Louis, MO 63117-1850 — (314) 645-4434

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085005433 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2002001000 (MO)

Record details

NPI number1336312693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 8, 2008
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Belleville