| Ricky Justin Mccullough, MD | |
|
1103 Plaza Ave, Eastman, GA 31023-6788 | |
| (478) 254-2644 | |
| (478) 254-4924 |
| Full Name | Ricky Justin Mccullough |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 16 Years |
| Location | 1103 Plaza Ave, Eastman, 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 |
|---|---|---|---|
| 1245469519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 003572 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center, Navicent Health (the) | Macon, GA | Hospital |
| Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
| Houston Medical Center | Warner robins, GA | Hospital |
| Medical Center Of Peach County, Navicent Health | Byron, GA | Hospital |
| Navicent Health Baldwin | Milledgeville, GA | Hospital |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Heart Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558906396 PECOS PAC ID: 5496185845 Enrollment ID: O20200427000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Justin Mccullough, MD 731 Waverly Pt, Macon, GA 31210-7546 Ph: (912) 536-7699 | Ricky Justin Mccullough, MD 1103 Plaza Ave, Eastman, GA 31023-6788 Ph: (478) 254-2644 |
Dr. Habigaile Cribe, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 911 Plaza Ave, Suite B, Eastman, GA 31023 Phone: 478-374-5582 Fax: 478-374-3756 | |
James Harmon Tison, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1085 Plaza Ave Ste B, Eastman, GA 31023 Phone: 478-374-5582 Fax: 478-374-3756 | |
Mr. Donald Anthony Selph Jr., MD FACP Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 911 Plaza Avenue, Suite D, Eastman, GA 31023 Phone: 478-374-5544 Fax: 478-374-0608 | |
Dr. Michelle Dee Cravey, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 718 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1130 Fax: 478-374-1093 |