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Active NPI 1619950904 Individual Practitioner Male Practitioner

Dr. Prentice Michael Mccullough , MD

Anesthesiology • Carrollton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prentice Mccullough, MD is a certified Anesthesiology practicing in Carrollton, GA. With approximately 26 years of clinical experience since graduating from Js Weill Medical College, Cornell University in 2000, Dr. Mccullough delivers high-quality medical care to the local community at 705 DIXIE ST.

Dr. Mccullough is affiliated with Tmc-West Georgia Anesthesia Associates Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

705 Dixie St

Carrollton, GA 301173818

Telephone 7708125730
Fax 7708388563
Associated Practice Facility / Clinic
🏢 Tanner Medical Center, Inc Facility NPI 1801883780

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Carrollton, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs -0.2 yrs vs City Avg
City Avg: 26.2 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Carrollton, GA (1464 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccullough (26 Years) 26 Yrs
Carrollton Specialty Average (26.2 Years) 26.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
37 37 $432.65 $70.01
00811 Anesthesia for procedure on large bowel using an endoscope
19 19 $362.53 $60.88
00813 Anesthesia for procedure on small and large bowel using an endoscope
13 13 $558.00 $93.62

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License GA 58806

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

State License FL ME90751

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Tmc-West Georgia Anesthesia Associates Inc.

601 Dallas Hwy, Villa Rica, GA 301801202

Phone: 7704563000

Tmc-West Georgia Anesthesia Associates Inc.

705 Dixie St, Carrollton, GA 301173818

Phone: 8002325703

Tmc-West Georgia Anesthesia Associates Inc.

200 Allen Memorial Dr, Bremen, GA 301102012

Phone: 7708242000

Practice Associates & Co-Workers

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

8 Associated Practitioners
Kelly Forrest , NP

Nurse Practitioner - Gerontology

NPI 1184084600

Nurse Practitioner

Marie Blaize

Hospitalist

NPI 1275979205
Dr. Stephen Broomes , MD

Internal Medicine

NPI 1295753481

Doctor of Medicine (M.D.)

Brian Buck , CRNA

Nurse Anesthetist, Certified Registered

NPI 1346222056

Certified Registered Nurse Anesthetist

Jenna Combs , NP

Nurse Practitioner - Acute Care

NPI 1447797584

Nurse Practitioner

NPI 1457374951

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 June 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2010

Registered at 705 DIXIE ST, CARROLLTON, GA 301173818 (Tel: 7708125730)

📍
Updated Business Mailing Address June 16, 2010

Registered at 119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 301173857 (Tel: 7708125730)

👤
Provider Name / Credentials Updated June 16, 2010

Recorded as PRENTICE MCCULLOUGH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2010

Anesthesiology (License #58806 in GA)

🟢
Initial NPI Registration & Enumeration November 21, 2005

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: 1619950904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2005
Last Update: June 16, 2010
Sole Proprietor: No

Mailing Address

119 Ambulance Dr, Suite 202

Carrollton, GA 301173857

Phone: 7708125730

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.