James Wesley Cullison, MD | |
150 Clinic Ave, Suite 202, Carrollton, GA 30117-4401 | |
(770) 834-6988 | |
(770) 834-1090 |
Full Name | James Wesley Cullison |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 28 Years |
Location | 150 Clinic Ave, Carrollton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194787408 | NPI | - | NPPES |
REF906223411 | Other | GA | MEDICAID REFERENCE NUMBER |
875799007B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 045057 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | West Georgia Urology Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982701124 PECOS PAC ID: 6608762521 Enrollment ID: O20040226000310 |
Entity Name | Tanner Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
James Wesley Cullison, MD 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4401 Ph: (770) 834-6988 | James Wesley Cullison, MD 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4401 Ph: (770) 834-6988 |
Kevin Patrick Mclaughlin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 202, Carrollton, GA 30117 Phone: 770-834-6988 Fax: 770-834-1090 |