NPIMap

Organization Active NPI

Callaway Associates

Doing business as Pro Med Minor Emergency Centers

  • Emergency Care Clinic/Center
  • Charlotte, NC
National Provider Identifier
1609831056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
CALLAWAY ASSOCIATES
Doing business as
Pro Med Minor Emergency Centers
Practice address
4221 Tuckaseegee Rd
Charlotte, NC 28208-2801
Phone
(704) 395-0060
Fax
(704) 521-5092
NPI assigned
Apr 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clifford K Callaway, M.D., P.A.
Title
Ceo
Phone
(704) 395-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

4221 Tuckaseegee Rd
Charlotte, NC 28208-2801

Mailing address

PO Box 667967
Charlotte, NC 28266-7967
Phone (704) 395-0060

Other names 1

  • Pro Med Minor Emergency Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Callaway Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609831056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667967",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282667967",
            "telephone_number": "704-395-0060",
            "fax_number": "704-521-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082801",
            "telephone_number": "704-395-0060",
            "fax_number": "704-521-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-395-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Med Minor Emergency Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.