CALLIE MEDICAL GROUP LLC (NPI# 1730670092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730670092 |
| Entity Type | Organization |
| Organization Name | CALLIE MEDICAL GROUP LLC |
| Practice Address |
200 Highway 52 Byp E Ste D Lafayette TN 37083-1356 |
| Mailing Address |
3068 Whitland Crossing Dr Nashville TN 37214-3567 |
| Practice Telephone | 6158210898 |
| Practice Fax Number | 6158210899 |
| Mailing Telephone | 6158210898 |
| Mailing Fax Number | 6158210899 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | JAMII J JOHNSON (OWNER) |
| Authorized Official Telephone | 6158210898 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
200 HIGHWAY 52 BYP E STE D |
| City | LAFAYETTE |
| State | TN |
| Zip Code | 37083-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275888992 | Jamii Johnson | Family Medicine | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
| 1619332202 | Lindsey Carr | Licensed Practical Nurse | 601 Highway 52 By Pass East, Lafayette, TN 37083 | 2015-12-23 |
| 1740572767 | John Steven Conger | Pharmacist | 320 Hwy 52 Bypass W, Rite Aid Pharmacy, Lafayette, TN 37083 | 2011-05-10 |
| 1871719294 | Kathryn Ann Fitzgerald | Pharmacist | 320 Hwy 52 Bypass West, Lafayette, TN 37083 | 2007-04-17 |
| 1770619777 | Brande Nicole Pharris | Registered Nurse | 601 Hwy Bypass 52, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1528194529 | Kelly Renae Ritter | Nurse's Aide | 601 Hwy 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1942336946 | Tammy Michelle Driver | Registered Nurse | 601 Highway 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1144395948 | Larry C Key | Dentist | 726 Hwy 52 By Pass W, Lafayette, TN 37083 | 2006-11-21 |
| 1689745069 | Family Care Center LLC | Family Medicine | 207 West Locust Street, Lafayette, TN 37083 | 2006-11-10 |
| 1952480212 | Bonell Mcbroom Jr Dds PC | Dentist | 1001 Scottsville Rd, Lafayette, TN 37083 | 2006-11-06 |
| Find all providers in zip 37083 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1124674932 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 214, Lafayette, CO 80026-2089 | 2019-08-16 |
| 1235601105 | Wellness for Life | Clinic/Center | 3000 S 9th St Ste B, Lafayette, IN 47909-6702 | 2018-12-17 |
| 1881148583 | Wecare Tlc - Tsc Lsc Health and Wellness South | Clinic/Center | 3000 S 9th St, Suite B, Lafayette, IN 47909-6702 | 2016-08-10 |
| 1164976866 | Wecare Tlc - Tsc Lsc Health and Wellness North | Clinic/Center | 2529 Schuyler Ave, Suite 700, Lafayette, IN 47905-3979 | 2016-08-10 |
| 1528351574 | Kirk F Knecht LLC | Clinic/Center | 213 Fourpark Rd Ste C, Lafayette, LA 70507-2481 | 2011-05-24 |
| 1841315421 | Cureshe, Inc | Clinic/Center | 107 Carrollton Cir, Lafayette, LA 70503-5842 | 2007-03-20 |
| 1609967900 | Kirtland Dana Swan | Clinic/Center | 113 Saint Thomas St Ste A, Lafayette, LA 70506-4575 | 2006-09-28 |
| 1497302871 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 110, Lafayette, CO 80026-2753 | 2019-08-21 |
| 1336611201 | Wellness for Life | Clinic/Center | 2529 Schuyler Ave, Lafayette, IN 47905-3979 | 2018-12-17 |
| 1558871970 | A1 Healthcare | Clinic/Center | 32 Brattontown Cir, Lafayette, TN 37083 | 2017-10-11 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.