Individual provider Active NPI

Tracy Q. Callister, M.D.

  • Cardiovascular Disease Physician
  • Hendersonville, TN
National Provider Identifier
1679689285
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
15550 Issued in TN
Practice address
353 New Shackle Island Rd
#300C
Hendersonville, TN 37075-2379
Phone
(615) 338-3337
Fax
(615) 338-3329
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15550 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd
#300C
Hendersonville, TN 37075-2379

Mailing address

353 New Shackle Island Rd
#300C
Hendersonville, TN 37075-2379
Phone (615) 338-3337

Other identifiers 1

IdentifierTypeStateIssuer
3007822MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRACY.CALLISTER@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040102000103 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951208297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tristar Tennessee Heart and Vascular LLCGroup PAC ID 2567811474, 22 clinicians

Practice addresses (Care Compare)

353 New Shackle Island Rd
Suite 300C
Hendersonville, TN 37075-2384
Phone (615) 824-0043

Hospital & facility affiliations

  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Dec 1, 2015 Accepting new patients
Riverview Medical Center LLC CurrentSince Sep 1, 2010 Accepting new patients
Sumner Regional Medical Center LLC Cardiovascular Disease Current Accepting new patients
Riverview Medical Center LLC Cardiovascular Disease Current Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Tristar Tennessee Heart and Vascular LLC Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients
Riverview Physician Practices, LLC CurrentSince Dec 1, 2015 Accepting new patients
Sumner Physician Practices LLC CurrentSince Dec 1, 2015 Accepting new patients
Family Health Care of Hendersonville, PLLC Past Accepting new patients
Saint Thomas Cardiology Consultants, PC Cardiovascular Disease Past Accepting new patients

Locations

133 Hospital Dr
Ste 700
Carthage, TN 37030
Phone (615) 588-1015

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

130 Lebanon Hwy
Carthage, TN 37030
Phone (615) 444-0554

1720 Nashville Pike
Ste 200
Gallatin, TN 37066
Phone (615) 230-6435

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

225 Big Station Camp Blvd
Gallatin, TN 37066
Phone (615) 328-3380

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

300 Steam Plant Rd
Ste 270
Gallatin, TN 37066
Phone (615) 230-6435

14 Main St E
Ste B
Gordonsville, TN 38563
Phone (615) 588-1015

353 New Shackle Island Rd
Ste 300C
Hendersonvlle, TN 37075
Phone (612) 824-0043

315 Oak St
Livingston, TN 38570
Phone (931) 403-1197

3443 Dickerson Pike
Ste 430
Nashville, TN 37207
Phone (615) 515-1980

214 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-0566

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3880/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tracy.callister@hca1.eclinicaldirectplus.com
  • Direct secure messaging: nmctcallis@yourcarecommunity.org

Organizations & group practices 10

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679689285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "#300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-338-3337",
            "fax_number": "615-338-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "#300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-338-3337",
            "fax_number": "615-338-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLISTER",
        "first_name": "TRACY",
        "middle_name": "Q.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "15550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007822",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRACY.CALLISTER@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "353 New Shackle Island Rd",
            "address_2": "#300C",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.