Active NPI
Sonia Louise McCallister, ARNP
- Nurse Practitioner
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN234375
- Practice address
- 2782 N Cobb Pkwy
Kennesaw, GA 30152-3472 - Phone
- (770) 420-1092
- NPI assigned
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN234375 | GA | |
| Nurse Practitioner | 363L00000X | RN234375 | GA | Primary |
Addresses
Primary practice location
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Mailing address
2001 Butterfield Rd
Ste 300
Downers Grove, IL 60515-1069
Phone (630) 725-2800
Other practice location 1
5885 Glenridge Dr Ste 100
Atlanta, GA 30328-5572
Phone (678) 321-8546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN234375 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| True North Health Navigation LLC | Current | Accepting new patients | |
| True North Health Navigation LLC | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440
495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573
415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661
1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045
7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286
3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350
1850 E West Connector
Austell, GA 30106
Phone (404) 855-2246
1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1578047536
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1467069047
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1578170114
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1801403480
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1093069775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD",
"address_2": "STE 300",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151069",
"telephone_number": "630-725-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523472",
"telephone_number": "770-420-1092"
}
],
"practiceLocations": [
{
"address_1": "5885 Glenridge Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303285572",
"country_code": "US",
"telephone_number": "678-321-8546",
"fax_number": "720-598-0440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCALLISTER",
"first_name": "SONIA",
"middle_name": "LOUISE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN234375",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN234375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.