Individual provider Active NPI

Thomas Prier Callier IV, MD

  • Family Medicine Physician
  • Reynolds, GA
National Provider Identifier
1578145983
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
100214 Issued in GA
Practice address
57 Martin Luther King Dr
Reynolds, GA 31076-2946
Phone
(478) 825-3317
Fax
(478) 825-5499
NPI assigned
Apr 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 100214 GA Primary

Addresses

Primary practice location

57 Martin Luther King Dr
Reynolds, GA 31076-2946

Mailing address

250 Martin Luther King Jr Blvd
Macon, GA 31201-3490

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241031003844 GA Practitioner - Family Practice 5092117028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

107 Main St
Plains, GA 31780-5570
Phone (229) 825-4444

11 Main St
Unit 201
Jekyll Island, GA 31527-1064
Phone (912) 766-0755

57 Martin Luther King Dr
Reynolds, GA 31076-2946
Phone (478) 825-3317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100214GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jun 15, 2024 Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 262-7414

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

57 Martin Luther King Dr
Reynolds, GA 31076
Phone (478) 825-3317

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.callier.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1578145983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MARTIN LUTHER KING JR BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MARTIN LUTHER KING DR",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "310762946",
            "telephone_number": "478-825-3317",
            "fax_number": "478-825-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIER",
        "first_name": "THOMAS",
        "middle_name": "PRIER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "100214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynolds, GA

Sources for this page

Verify at the official NPI Registry.