Individual provider Active NPI

Jack McCallion, MD

  • Anesthesiology Physician
  • Paris, TX
National Provider Identifier
1083695274
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
W1313 Issued in TX
Practice address
865 Deshong Dr
Paris, TX 75460-9313
Phone
(907) 737-1111
NPI assigned
Nov 7, 2005
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X W1313 TX Primary
Anesthesiology Physician 207L00000X 59984 MA

Addresses

Primary practice location

865 Deshong Dr
Paris, TX 75460-9313

Mailing address

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6298

Other identifiers 3

IdentifierTypeStateIssuer
J07425OtherMABCBS MA
059984OtherMATUFTS HEALTH PLAN
3035522MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622003303 FL Practitioner - Anesthesiology 5496849739 Reassigns benefits to 3 organizations
I20251204002545 TX Practitioner - Anesthesiology 5496849739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
May accept Medicare assignment
Group practices
Texas Regional Anesthesia Medical Group PAGroup PAC ID 8325328628, 16 clinicians

Practice addresses (Care Compare)

865 Deshong Dr
Paris, TX 75460-9313
Phone (865) 985-7062

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W1313TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Baptist LLC Anesthesiology CurrentSince Jun 2, 2025 Accepting new patients
Ams of Gulf Breeze LLC Anesthesiology CurrentSince Jun 2, 2025 Accepting new patients
Texas Regional Anesthesia Medical Group, P.a Anesthesiology CurrentSince Dec 22, 2025 Accepting new patients
Ams Anesthetist Services LLC Anesthesiology CurrentSince Mar 31, 2023 Accepting new patients

Locations

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Organizations & group practices 4

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 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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1083695274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-6298",
            "fax_number": "617-243-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 DESHONG DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609313",
            "telephone_number": "907-737-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLION",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "W1313",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "59984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J07425",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "059984",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035522",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.