Individual provider Active NPI

Julian A McCalla

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1275357717
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
37086 Issued in TN
Practice address
6005 Park Ave Ste 500B
Memphis, TN 38119-5215
Phone
(901) 683-6925
Fax
(901) 684-1435
NPI assigned
Nov 12, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 37086 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 500B
Memphis, TN 38119-5215

Mailing address

2169 Coleridge LN
Cordova, TN 38016-2617
Phone (901) 562-8221

Other practice location 1

5959 Park Ave
Suite 500B
Memphis, TN 38119
Phone (901) 683-6925

Other practice location 2

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241230002239 TN Practitioner - Nurse Practitioner 7911434196 Reassigns benefits to 2 organizations
I20250227003394 AR Practitioner - Nurse Practitioner 7911434196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

6005 Park Ave
Memphis, TN 38119-5215
Phone (901) 683-6925

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
37086TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Nov 15, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Saint Francis-Arkansas Physician Network, LLC CurrentSince Feb 18, 2025 Accepting new patients

Locations

902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025

300 S Rhodes St
West Memphis, AR 72301
Phone (870) 400-0433

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

5959 Park Ave
Ste 500B
Memphis, TN 38119

6005 Park Ave
Ste 500B
Memphis, TN 38119

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

Interoperability endpoints

  • Direct secure messaging: julian.mccalla.1@16700.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1275357717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 COLERIDGE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162617",
            "telephone_number": "901-562-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 500B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195215",
            "telephone_number": "901-683-6925",
            "fax_number": "901-684-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5959 Park Ave",
            "address_2": "Suite 500B",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38119",
            "country_code": "US",
            "telephone_number": "901-683-6925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2986 Kate Bond Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334003",
            "country_code": "US",
            "telephone_number": "901-820-7000",
            "fax_number": "901-820-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLA",
        "first_name": "JULIAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "37086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.