Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Staci Haggerty McCullohs, PA-C

Individual provider Physician Assistant · NPI 1629294947

Mrs. Staci Haggerty McCullohs, PA-C is a Physician Assistant in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

975 Johnson Ferry Rd NE Ste 100
Atlanta, GA 30342
Phone: (404) 256-2157
Fax: (404) 303-9798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence 005021 (GA)

Record details

NPI number1629294947
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESNovember 14, 2016

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