P Praxis·MD
● Active Type 1 · Individual

Shir'Mel Candis McCullough

Nurse Practitioner·San Angelo, TX· NPI 1629775499 · Enumerated 2023 · 3 years on NPI
McCullough is 1 of 96 nurse practitioner providers in San Angelo and 1 of 22123 in Texas.
NPI age
3 years
Enumerated 2023-02-13
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
SC
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
2
In the 23% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
271 Ft. Richardson Avenue
San Angelo, TX 769084902
📞 3256543221fax 3256541161
Mailing address
Po Box 3788
Columbia, SC 292303788
📞 8037335959

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2117 Gervais St
Columbia, SC 292041805
📞 8037440540fax 8037440542

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    SC license #28094 taxonomy 363LF0000X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    taxonomy 171000000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in San Angelo in the last 180 days. See all →
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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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