Active NPI
Callie Combs
- Nurse's Aide
- Elgin, SC
National Provider Identifier
1619605458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 419 Orchard Grove LN
Elgin, SC 29045-9040 - Phone
- (513) 280-0276
- NPI assigned
- Aug 10, 2022
- Last updated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Nurse's Aide | 376K00000X | NU | Primary |
Addresses
Primary practice location
419 Orchard Grove LN
Elgin, SC 29045-9040
Mailing address
1078 Robinson Town Rd
Cassatt, SC 29032-9238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | 000000000 |
Other names 1
- Callie Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1619605458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 ROBINSON TOWN RD",
"city": "CASSATT",
"state": "SC",
"postal_code": "290329238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 ORCHARD GROVE LN",
"city": "ELGIN",
"state": "SC",
"postal_code": "290459040",
"telephone_number": "513-280-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "CALLIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "000000000",
"identifier": "00000000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CALLIE",
"last_name": "MOORE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elgin, SC
- Melissa Branham Calcutt, MSP, SLP-CCC
- Traisha White Campfield, PHARMD
- Chiropractic Health & Accident Center
- Mark Anthony Chishom, DMD
- Nicole Mujica Cogdill, LPC
- Communication Corner Therapy Services LLC
- Rachael Connor, PT
- Michelle Latrice Cooper, MA CCC-SLP
- Mario Christopher Cosce, MS, ATC
- Ashley Wall Crawford, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.