IndividualActive
Keidra Mccullough
NPI 1477499101 · Specialist · Statesville, NC
Keidra Mccullough is a Specialist provider in Statesville, NC (NPI 1477499101).
Provider details
- NPI number
- 1477499101
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sole proprietor
- No
- License
- C89143 (NC)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
314 Signal Hill Dr
Statesville, NC 28625-4357
Phone: (704) 450-9104
Street-level locationGet directions
Mailing address
510 S Meeting St
Statesville, NC 28677-6108
Registry dates
- Enumerated
- 2026-04-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-26
Frequently asked questions
- What is Keidra Mccullough's NPI number?
- Keidra Mccullough's National Provider Identifier (NPI) is 1477499101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keidra Mccullough's specialty?
- Keidra Mccullough is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Keidra Mccullough located?
- Keidra Mccullough's practice location on file with NPPES is 314 Signal Hill Dr, Statesville, NC 28625-4357.
- What is Keidra Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Keidra Mccullough is (704) 450-9104.
- Is Keidra Mccullough's NPI active?
- Yes — Keidra Mccullough's NPI (1477499101) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.