Individual provider Active NPI

Tammie Small McCallie, DC

  • Chiropractor
  • Dallas, GA
National Provider Identifier
1265556948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005273 Issued in GA
Practice address
243 Merchants Dr.
Dallas, GA 30132-0008
Phone
(770) 445-1362
Fax
(770) 445-5860
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR005273 GA Primary

Addresses

Primary practice location

243 Merchants Dr.
Dallas, GA 30132-0008

Mailing address

PO Box 419
Dallas, GA 30132-0008
Phone (770) 445-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181130002673 GA Practitioner - Chiropractic 1456695410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Selano Chiropractic Center, Inc.Group PAC ID 9032161864, 2 clinicians

Practice addresses (Care Compare)

243 Merchants Dr
Dallas, GA 30132-4749
Phone (770) 445-1362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Selano Chiropractic Center, Inc. Chiropractor CurrentSince Jun 21, 2018 Accepting new patients
Selano Chiropractic Center Inc Chiropractor CurrentSince May 22, 2022 Accepting new patients

Organizations & group practices 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265556948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320008",
            "telephone_number": "770-445-1362",
            "fax_number": "770-445-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MERCHANTS DR.",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320008",
            "telephone_number": "770-445-1362",
            "fax_number": "770-445-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLIE",
        "first_name": "TAMMIE",
        "middle_name": "SMALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.