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.

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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.

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