Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline McCullough

Individual provider Physician Assistant · NPI 1598482432

Caroline McCullough is a Physician Assistant in Marietta, Georgia. Qualified in 2023, 3 years ago. Practices with Laureate Medical Group at Northside, LLC, a 74-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

4800 Olde Towne Pkwy Ste 400
Marietta, GA 30068-4424
Phone: (678) 718-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12143 (GA)

Record details

NPI number1598482432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2022
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Laureate Medical Group At Northside, Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Marietta