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

Kevin Michael McCullough, PA-C

Individual provider Physician Assistant · NPI 1285147793

Kevin Michael McCullough, PA-C is a Physician Assistant in Fort Nill, South Carolina. Qualified in 2017, 9 years ago. Practices with Orthocarolina, PA, a 301-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
9
Licensed in
NC, SC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

601 S Sutton Rd Ste 101
Fort Nill, SC 29715
Phone: (803) 328-6306
Fax: (803) 909-6451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4394 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-07689 (NC)

Record details

NPI number1285147793
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2017
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients379
Services billed 1,316 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Orthocarolina, PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 301 clinicians in the practice; 12 are shown here.