MRS. MILDRED FLEMING MCCULLY CPNP NPI 1841345915

NPI Information

  • NPI: 1841345915
  • Provider Name: MRS. MILDRED FLEMING MCCULLY, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 103 STUARD ST
    GAFFNEY, SC
    ZIP 29341
  • Phone: (864) 514-1080

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NPI Details

MRS. Mildred Fleming Mccully, CPNP is a pediatrics nurse practitioner in Gaffney, SC. MRS. Mildred Fleming Mccully, CPNP NPI is 1841345915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 STUARD ST
GAFFNEY, SC
ZIP 29341-263
Phone: (864) 514-1080
Fax: (864) 560-1090

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/17/2020.

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
1363LP0200XNurse PractitionerPediatrics300071NORTH CAROLINANo
2363LP0200XNurse PractitionerPediatrics19766SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SCC612H895OTHERSOUTH CAROLINAMEDICARE PIN
2SCC6123365OTHERSOUTH CAROLINAMEDICARE PIN
3SCC612J577OTHERSOUTH CAROLINAMEDICARE PIN
4SCC6125019OTHERSOUTH CAROLINAMEDICARE PIN
5NP3570MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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