James Alton Callis Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4227 Issued in AZ

Practice address

3272 E Rio Virgin Rd
Littlefield, AZ 86432-3200

Phone

(928) 347-5971

Fax

(928) 357-5793

NPI assigned

Aug 4, 2005

Last updated

Sep 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Jim Callis Other name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital

  • General Acute Care Hospital
  • Louisville, GA
  • NPI 1710992433
  Medicare reassignment
• Hospital Authority of Jefferson County and the City of Louisville

  dba Physicians' Health Group

  • Rural Health Clinic/Center
  • Louisville, GA
  • NPI 1215943915
  NPD
• Hospital Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital Oncology Clinic

  • Oncology Clinic/Center
  • Louisville, GA
  • NPI 1548144868
  NPD
• Hospital Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital

  • Psychiatric Hospital Unit
  • Louisville, GA
  • NPI 1417554437
  NPD (past)
• Richard Lochhead MD PLLC

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1588063168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1003817610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1625",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860401625",
            "telephone_number": "928-645-1700",
            "fax_number": "928-645-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 E RIO VIRGIN RD",
            "city": "LITTLEFIELD",
            "state": "AZ",
            "postal_code": "864323200",
            "telephone_number": "928-347-5971",
            "fax_number": "928-357-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIS",
        "first_name": "JAMES",
        "middle_name": "ALTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "LL15374",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA529",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "CALLIS",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen M Adam, DMD
• Beaver Dam Littlefield Fire District
• Coalette Bedke, APRN
• Wendie G Black, MA
• Alejandra Camacho, RDH
• Canyonlands Community Health Care (Canyonlands Health Care - Beaver Dam)
• Lacey Bennett Celani, NP
• Community Bridges, Inc. (CBI - Encompass Littlefield Outpatient)
• Encompass Health Services

• Physician Assistant in Littlefield, AZ
• Providers in Littlefield, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.