Individual provider Active NPI

Donald Jacob Calella, PA-C

  • Medical Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1316580913
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4183 Issued in TN
Practice address
1067 Riverfront Pkwy
Chattanooga, TN 37402-2194
Phone
(423) 602-9530
Fax
(423) 560-7177
NPI assigned
Oct 26, 2019
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9848 GA
Medical Physician Assistant 363AM0700X 4183 TN Primary

Addresses

Primary practice location

1067 Riverfront Pkwy
Chattanooga, TN 37402-2194

Mailing address

1067 Riverfront Pkwy
Chattanooga, TN 37402-2194
Phone (423) 602-9530

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200914002094 TN Practitioner - Physician Assistant 8224456801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9848GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Pattern Medical Clinic CurrentSince May 12, 2022 Accepting new patients

Locations

55 25th St NW
Cleveland, TN 37311
Phone (423) 250-8777

5545 Little Debbie Pkwy
Ooltewah, TN 37363
Phone (423) 238-5020

Interoperability endpoints

  • Direct secure messaging: donald.calella@488678167609348.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/24451/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1316580913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 RIVERFRONT PKWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022194",
            "telephone_number": "423-602-9530",
            "fax_number": "423-560-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 RIVERFRONT PKWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022194",
            "telephone_number": "423-602-9530",
            "fax_number": "423-560-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALELLA",
        "first_name": "DONALD",
        "middle_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-26",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "9848",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.