RICKY JUSTIN MCCULLOUGH M.D. NPI 1245469519

NPI Information

  • NPI: 1245469519
  • Provider Name: RICKY JUSTIN MCCULLOUGH, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1103 PLAZA AVE
    EASTMAN, GA
    ZIP 31023
  • Phone: (478) 254-2644

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NPI Details

Ricky Justin Mccullough, M.D. is a cardiovascular disease internal medicine in Eastman, GA with 16 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Ricky Justin Mccullough, M.D. NPI is 1245469519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1103 PLAZA AVE
EASTMAN, GA
ZIP 31023-788
Phone: (478) 254-2644
Fax: (478) 254-4924

The NPI 1245469519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries (HCPCS:A9560)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)

The enumeration date for this NPI number is 7/8/2009 and was last updated on 12/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease003572GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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