NPIMap

Individual provider Active NPI

Cally Wilson, MD

  • Family Medicine Physician
  • Linton, IN
National Provider Identifier
1013583608
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01088995A Issued in IN
Practice address
1210 N 1000 W
Linton, IN 47441-5013
Phone
(812) 847-4481
Fax
(844) 658-7526
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01088995A IN Primary

Addresses

Primary practice location

1210 N 1000 W
Linton, IN 47441-5013

Mailing address

1185 N 1000 W
Linton, IN 47441-5282
Phone (812) 847-2281

Other practice location 1

102 E Main St
Worthington, IN 47471-1603
Phone (812) 847-4481

Other names 1

  • Cally Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425002308 IN Practitioner - Family Practice 5294135992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01088995AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County General Hospital Family Medicine Current Accepting new patients
Greene County General Hospital Family Medicine CurrentSince Mar 29, 2024 Accepting new patients
Greene County General Hospital Family Medicine Past Accepting new patients
Greene County General Hospital Family Medicine Past Accepting new patients
Greene County General Hospital Family Medicine Past Accepting new patients

Locations

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

1210 N 1000 W
Linton, IN 47441
Phone (812) 847-4481

1985 E Freedom Dr
Newberry, IN 47449
Phone (812) 847-4481

102 E Main St
Worthington, IN 47471
Phone (812) 847-4481

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17971/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/greenco-d84f4143
  • Direct secure messaging: cally.wilson.1@17971.direct.athenahealth.com

Organizations & group practices 10

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greene County General Hospital 102 clinicians

Practice addresses (Care Compare)

102 E Main St
Greene County General Hospital Worthington
Worthington, IN 47471-1603
Phone (812) 847-4481

1043 N 1000
Linton, IN 47441-5281
Phone (812) 847-3381

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

1206 N 1000
Suite B Foot and Ankle Center
Linton, IN 47441-5294
Phone (812) 847-3381

1210 N 1000
Greene County General Hospital Linton Clini
Linton, IN 47441-5013
Phone (812) 847-4481

Hospital & facility affiliations

  • Home Health Care Solutions LLC Home health agency, Mooresville, IN, CCN 157597
  • Amedisys Home Health Home health agency, Bloomington, IN, CCN 157578
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1013583608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415282",
            "telephone_number": "812-847-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415013",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 E Main St",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "IN",
            "postal_code": "474711603",
            "country_code": "US",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CALLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01088995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLY",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.