William McCallister

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

P326102 Issued in MS

Legal business name

WILLIAM MCCALLISTER

Practice address

1600 Raymond Rd
Jackson, MS 39204-4203

Phone

(601) 371-1700

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Charles McCallister

Title

LPN

Phone

(769) 572-5002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1205175908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 FOREST AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063308",
            "telephone_number": "769-572-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 RAYMOND RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044203",
            "telephone_number": "601-371-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MCCALLISTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MCCALLISTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "769-572-5002"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "P326102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly J. Wilkinson, M.D.
• Michael M Wilkinson, ATC
• Rachel Wilkinson, MD
• William Ashley Hood D.O.
• William G. Bush M.D., P.L.L.C
• William S Cook Jr M D P a
• William T Williams Jr MD
• Melinda Williams-Boykin
• Shawuanna Williams-Walker, NURSE PRACTITIONER
• A Terrel Williams, MD

• Skilled Nursing Facility in Jackson, MS
• Providers in Jackson, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.