P Praxis·MD
● Active Type 1 · Individual

Ricky Justin McCullough, M.D.

Internal Medicine·MacOn, GA· NPI 1245469519 · Enumerated 2009 · 16 years on NPI
McCullough is 1 of 19 internal medicine providers in MacOn and 1 of 952 in Georgia.
NPI age
16 years
Enumerated 2009-07-08
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 952 active internal medicine providers in Georgia.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
446 Poplar St Ste B
MacOn, GA 312013336
📞 4787460097fax 4787424051
Mailing address
2675 Winkler Ave Ste 200
Fort Myers, FL 339019328
📞 8778563774fax 2395992612

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1103 Plaza Ave
Eastman, GA 310236788
📞 4782542644fax 4782544924

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    GA license #65151 taxonomy 207RC0000X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 952 Internal Medicine providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related