Holly Marie Callaway, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-184909 Issued in AL

Practice address

2700 Highway 280 S Ste 212
Mountain BRK, AL 35223-2468

Phone

(205) 878-4368

Fax

(205) 878-4367

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain Center, PCGroup PAC ID 9830524594, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.callaway.1@20537.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20537/brand/1/csg/1/fhir/r4

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.

• Comprehensive Pain Center, PC

  • Pain Medicine (Anesthesiology) Physician
  • Mountain BRK, AL
  • NPI 1871137943
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1114693363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 280 S STE 212",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232468",
            "telephone_number": "205-878-4368",
            "fax_number": "205-878-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 280 S STE 212",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232468",
            "telephone_number": "205-878-4368",
            "fax_number": "205-878-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-184909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Burchfield, OTR/L
• Burns Healthcare Enterprises, Inc
• Elizabeth Chelsey Burton, MA, ALC, NCC
• Martha Grace Burton, MA, LPC, NCC, EMDR-T
• Zerah Margaret Byars, LPC
• Dymond Callen
• Calvert and Associates, LLC
• Robert Adam Calvert, LPC-S, CSAT-S
• Joanna S Camper, PHARMD
• Jillian Dominick Canary, M.S. CCC-SLP

• Gerontology Nurse Practitioner in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.