CHRISTOPHER CULLEY (NPI# 1831272087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831272087 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER CULLEY |
| Credential | PA-C |
| Practice Address |
4622 Country Club Road Suite 180 Winston-salem NC 27023-3770 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3367689510 |
| Practice Fax Number | 3367684155 |
| Mailing Telephone | 3367689510 |
| Mailing Fax Number | 3367684155 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103539 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
103539 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8102525 | 05 |
| Street Address |
4622 COUNTRY CLUB ROAD SUITE 180 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27023-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1306127527 | Gohar Karami | Clinical Nurse Specialist | 200 Shallowford Reserve Dr #303, Lewisville, NC 27023 | 2011-09-01 |
| 1013107259 | Lewisville Optical Inc | Durable Medical Equipment & Medical Supplies | 6758 Shallowford Road, Lewisville, NC 27023 | 2007-07-25 |
| 1013112960 | Patrick Paul Welch | Counselor | 5041 Styers Ferry Rd, Lewisville, NC 27023 | 2007-06-20 |
| 1881736551 | Kathleen Diane Morin | Speech-Language Pathologist | 8800 Buckey Court, Lewisville, NC 27023 | 2007-02-12 |
| 1396836755 | Connie Lynn Marie Bigwood | Physical Therapist | 765 Manarda Circle, Lewisville, NC 27023 | 2006-09-28 |
| 1710353107 | Vanessa Fitzgerald | Peer Specialist | 423 Brookway West Dr, Lewisville, NC 27023-7602 | 2015-08-19 |
| 1497103451 | Frank Barron | Counselor | 1035 Kensford Dr, Lewisville, NC 27023-7635 | 2016-06-01 |
| 1144324591 | Yuegang Chen | Physician Assistant | 1052 Feldspa Ln., Lewisville, NC 27023-7639 | 2006-09-07 |
| 1144772070 | Karen M Jarvis | Speech-Language Pathologist | 8800 Buckley Court, Lewisville, NC 27023-7745 | 2016-10-26 |
| Find all providers in zip 27023 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068540 | Anne Tyson Edwards | Physician Assistant | 2020 Peacehaven Rd., Winston-salem, NC 27106 | 2014-06-17 |
| 1841469590 | Forsyth Memorial Hospital, Inc | Physician Assistant | 390 Salem Avenue, Dba Salem Family Practice At Gateway, Winston-salem, NC 27101 | 2008-02-27 |
| 1336334853 | Ellee L Wallace | Physician Assistant | 2025 Frontis Plaza Blvd., Suite 120 Forsyth Comprehensive Neurology, Winston-salem, NC 27103 | 2007-09-07 |
| 1861611527 | Wayne Vonseggen | Physician Assistant | Wfu Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157-0000 | 2007-04-24 |
| 1568562320 | Deborah Friel Zimmermann | Physician Assistant | 2927 Lyndhurst Avenue, Winston-salem, NC 27103 | 2006-09-22 |
| 1669434148 | Charles Jeffrey Beach | Physician Assistant | 140 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-03 |
| 1922086909 | Blanche E. Brais | Physician Assistant | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-01-09 |
| 1134773609 | Lorae Marie Schafer | Physician Assistant | 186 Kimel Park Dr, Winston-salem, NC 27103 | 2019-08-01 |
| 1811378185 | Melissa Ann Holmes | Physician Assistant | 1 Medical Center Blvd, Winston-salem, NC 27103 | 2015-06-12 |
| 1053751750 | Matthew C Horton | Physician Assistant | 3333 Silas Creek Parkway, Winston-salem, NC 27103 | 2013-06-27 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27023 |
Please comment or provide details below to improve the information on CHRISTOPHER CULLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.