| 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 | 29 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 |
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| 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 |
Dr. Christopher Lee Powell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: West Georgia Urology Associates, 150 Clinic Ave Ste 202, Carrollton, GA 30117 Phone: 770-834-6988 Fax: 770-834-1090 | |
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 |