Julie N McCallister, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

23689 Issued in WV

Practice address

4607 Maccorkle Ave SW
Ste 400
South Charleston, WV 25309-1364

Phone

(304) 766-4400

Fax

(304) 766-4417

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmccallister26271@valleyhealthsystems.direct-ci.com

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.

• Valley Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1215707278

  Pediatrics

  Medicare reassignment NPD
• Valley Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1366212326

  Pediatrics

  Medicare reassignment NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1144096082

  Pediatrics

  Medicare reassignment NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scott Depot, WV
  • NPI 1700446929

  Pediatrics

  Medicare reassignment NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD
• Valley Health Systems Inc

  • Family Medicine Physician
  • Milton, WV
  • NPI 1891775557
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1386858447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE",
            "address_2": "STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-766-4400",
            "fax_number": "304-766-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW",
            "address_2": "STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-766-4400",
            "fax_number": "304-766-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "JULIE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "23689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015753",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Maynor
• Beena Narendra Mazza, MPT
• Connie McCall
• Carolyn Nicole McCallister, LPN
• Jessica L McCallister
• Kandi Michelle Ann McCallister
• Sherry McCallister
• Tiffany McCallister
• Jacqueline Elizabeth McCarty, PA-C
• Taylor Rose McClary

• Pediatrics Physician in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.