Active NPI
Callista Jill Warren, MLS
- Clinical Pathology/Laboratory Medicine Physician
- Jasper, GA
National Provider Identifier
1396652525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 20192447
- Practice address
- 1266 Ga-515 South
Jasper, GA 30143 - Phone
- (706) 301-5280
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 20192447 | GA | Primary |
Addresses
Primary practice location
1266 Ga-515 South
Jasper, GA 30143
Mailing address
PO Box 84
Tate, GA 30177-0084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1396652525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84",
"city": "TATE",
"state": "GA",
"postal_code": "301770084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 GA-515 SOUTH",
"city": "JASPER",
"state": "GA",
"postal_code": "30143",
"telephone_number": "706-301-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "CALLISTA",
"middle_name": "JILL",
"credential": "MLS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "GA",
"license": "20192447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.