Individual provider Active NPI

Robert Mackey Callis, M.D.

  • Family Medicine Physician
  • West Columbia, SC
National Provider Identifier
1093780140
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7434 Issued in SC
Practice address
145 Sunset CT
West Columbia, SC 29169-2429
Phone
(803) 739-3550
Fax
(803) 739-3546
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 7434 SC Primary

Addresses

Primary practice location

145 Sunset CT
West Columbia, SC 29169-2429

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

3209 Colonial Dr
Columbia, SC 29203-6930
Phone (803) 434-6113

Other practice location 2

7037 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 732-0963

Other identifiers 1

IdentifierTypeStateIssuer
074341MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcallis14708@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000357 SC Practitioner - Family Practice 2961537311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7434SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Family Medicine Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 7, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Family Medicine CurrentSince Nov 7, 2016 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Serv Family Medicine Past Accepting new patients

Locations

3799 12th Street Ext
Ste 105
Cayce, SC 29033
Phone (803) 926-6820

1612 Chapin Rd
Chapin, SC 29036
Phone (803) 345-3414

76 Polo Rd
Columbia, SC 29223
Phone (803) 699-7255

3209 Colonial Dr
Columbia, SC 29203
Phone (803) 434-6113

109 Barton Creek Ct
Columbia, SC 29229
Phone (803) 256-2286

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

7033 Saint Andrews Rd
Ste 205
Columbia, SC 29212
Phone (803) 749-1155

7037 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 732-0963

4080 Augusta Hwy
Gilbert, SC 29054
Phone (803) 892-1800

1846 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 314-9640

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

811 W Main St
Ste 207
Lexington, SC 29072
Phone (803) 314-9640

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400

122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400

5535 Platt Springs Rd
Lexington, SC 29073
Phone (803) 314-9510

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

3314 Platt Springs Rd
West Columbia, SC 29170
Phone (803) 791-3494

145 Sunset Ct
Ste 100201
West Columbia, SC 29169
Phone (803) 739-3550

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1093780140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SUNSET CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036930",
            "country_code": "US",
            "telephone_number": "803-434-6113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7037 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-732-0963",
            "fax_number": "803-407-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLIS",
        "first_name": "ROBERT",
        "middle_name": "MACKEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "7434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074341",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcallis14708@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7037 Saint Andrews Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.