NPIMap

Individual provider Active NPI

Lee Wilkes McCallum, MD

  • Family Medicine Physician
  • Cordova, TN
National Provider Identifier
1053304758
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17202 Issued in TN
Practice address
8115 Country Village Dr
Cordova, TN 38016-2030
Phone
(901) 752-2300
Fax
(901) 752-2348
NPI assigned
Aug 26, 2005
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 MD17202 TN Primary

Addresses

Primary practice location

8115 Country Village Dr
Cordova, TN 38016-2030

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 3

IdentifierTypeStateIssuer
140818OtherTNUNITED HEALTHCARE
2623978OtherTNCIGNA
4057032OtherTNAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101018000622 TN Practitioner - Family Practice 2961513536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893
Phone (901) 388-0115

8115 Country Village Dr
Cordova, TN 38016-2030
Phone (901) 752-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17202TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC Family Medicine CurrentSince Mar 1, 2013 Accepting new patients
Family Physicians Group PC Family Medicine Current Accepting new patients
BMG Family Physicians Group Foundation, Inc Family Medicine PastSince Aug 1, 2020 Accepting new patients

Locations

3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303

8115 Country Village Dr
Cordova, TN 38016
Phone (901) 752-2300

1385 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 692-9600

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

2900 Kirby Rd
Ste 6
Memphis, TN 38119
Phone (901) 759-4745

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

2859 Van Leer Dr
Memphis, TN 38133
Phone (901) 751-5513

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: lmccallum29630@mlh.direct-ci.com
  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/

Organizations & group practices 3

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 & facility affiliations 8

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1053304758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 COUNTRY VILLAGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162030",
            "telephone_number": "901-752-2300",
            "fax_number": "901-752-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "LEE",
        "middle_name": "WILKES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD17202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "140818",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2623978",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4057032",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.