Individual provider Active NPI

Edward Scott Callihan, NP-C

  • Family Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1033723325
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903723 Issued in MS
Practice address
342 Gilchrist Dr
Pearl, MS 39208-6671
Phone
(601) 939-0700
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903723 MS Primary

Addresses

Primary practice location

342 Gilchrist Dr
Pearl, MS 39208-6671

Mailing address

112 Colony PL
Madison, MS 39110-6638
Phone (662) 571-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20200928003223 MS Practitioner - Nurse Practitioner 1658790456 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians
Quad Intermed Company LLCGroup PAC ID 6709245954, 42 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

4204 Clay St
Vicksburg, MS 39183-3438
Phone (601) 619-7717

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uppal Medical Center LLC CurrentSince Mar 6, 2026 Accepting new patients
Quad Intermed Company LLC CurrentSince Aug 16, 2023 Accepting new patients
Quad Intermed Company LLC Current Accepting new patients
MDB Care Management LLC CurrentSince Mar 1, 2026 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Mar 1, 2026 Accepting new patients
Quad Intermed Company LLC CurrentSince Aug 16, 2023 Accepting new patients
Minor Med Care, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

7300 S Siwell Rd
Jackson, MS 39272
Phone (601) 371-1234

215 Katherine Dr
#A
Jackson, MS 39232

342 Gilchrist Dr
Pearl, MS 39208
Phone (601) 939-0700

308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500

4204 Clay St
Vicksburg, MS 39183
Phone (601) 200-4560

4204 Clay St
#V
Vicksburg, MS 39183
Phone (601) 619-7717

Interoperability endpoints

  • Direct secure messaging: ecallihan2458807@direct.casso.us.com

Organizations & group practices 8

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1033723325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLONY PL",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106638",
            "telephone_number": "662-571-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 GILCHRIST DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086671",
            "telephone_number": "601-939-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIHAN",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

Verify at the official NPI Registry.