Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225057151 Individual Practitioner Male Practitioner

Barry G Mccullough , PA

Physician Assistant • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Barry Mccullough, PA is a registered healthcare professional specializing in Physician Assistant in Orange Park, FL. Practice services are available at 2140 KINGSLEY AVE STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2140 Kingsley Ave Ste 1

Orange Park, FL 320735129

Telephone 9042727500
Fax 9042727502
Associated Practice Facility / Clinic
🏢 Harbor Physicians Llc Facility NPI 1407549298

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
52 Specialists

Practicing in Orange Park, FL (10376 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA1751

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2908077-00 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Rosy George , MD

Internal Medicine

NPI 1225065600

Doctor of Medicine (M.D.)

Jennifer Tra , PA-C

Physician Assistant

NPI 1437483849

Physician Assistant (Certified)

Paul Schklar , PA-C

Physician Assistant

NPI 1518044759

Physician Assistant (Certified)

Mary Scott , ARNP

Nurse Practitioner - Adult Health

NPI 1811106552

Advanced Registered Nurse Practitioner

Dr. Doroteo Audije , MD

Internal Medicine

NPI 1962418434

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2009

Registered at 2140 KINGSLEY AVE STE 1, ORANGE PARK, FL 320735129 (Tel: 9042727500)

📍
Updated Business Mailing Address May 06, 2009

Registered at 2140 KINGSLEY AVE STE 1, ORANGE PARK, FL 320735129 (Tel: 9042727500)

👤
Provider Name / Credentials Updated May 06, 2009

Recorded as BARRY MCCULLOUGH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2009

Physician Assistant (License #PA1751 in FL)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225057151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: May 06, 2009
Sole Proprietor: No

Mailing Address

2140 Kingsley Ave Ste 1

Orange Park, FL 320735129

Phone: 9042727500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.