Individual provider Active NPI

Marie Edith Calixte, M.D.

  • Pediatrics Physician
  • Greenville, SC
National Provider Identifier
1669613501
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
62044 Issued in GA
Practice address
800 Pelham Road
Greenville, SC 29615-3300
Phone
(864) 234-5800
Fax
(864) 234-5881
NPI assigned
Mar 22, 2009
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 62044 GA Primary

Addresses

Primary practice location

800 Pelham Road
Greenville, SC 29615-3300

Mailing address

800 Pelham Road
Greenville, SC 29615-3300
Phone (864) 234-5800

Other identifiers 2

IdentifierTypeStateIssuer
312808583BMedicaidGA
328238MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20151203001248 SC Practitioner - Pediatric Medicine 0244530889 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62044GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice MD Health and Wellness, LLC CurrentSince Feb 1, 2021 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Kids Choice Pediatrics, PA Pediatrics Past Accepting new patients

Locations

30 Memorial Medical Dr
Ste 126
Greenville, SC 29605
Phone (864) 252-8009

58 Bear Dr
Greenville, SC 29605
Phone (864) 252-8066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20057/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marie.calixte.1@20057.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1669613501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PELHAM ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5800",
            "fax_number": "864-234-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PELHAM ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5800",
            "fax_number": "864-234-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIXTE",
        "first_name": "MARIE",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "62044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312808583B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328238",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.