Kelly Anne Calloway, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

228 N Chiles St
Carlinville, IL 62626-1606

Phone

(217) 854-3644

Fax

(217) 854-7107

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Calloway Chiropractic PC

  • Chiropractor
  • Carlinville, IL
  • NPI 1124209390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1720074156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N CHILES ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261606",
            "telephone_number": "217-854-3644",
            "fax_number": "217-854-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N CHILES ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261606",
            "telephone_number": "217-854-3644",
            "fax_number": "217-854-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOWAY",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Kay Braley, OD
• Joan Brown
• Kristin Buller, LCSW
• Samantha Butcher, OD
• Calloway Chiropractic PC
• Rebbecca Camerer, NP
• Carlinville Area Hospital Association (Carlinville Area Hospital)
• Carlinville Area Hospital Association (Carlinville Area Hospital Association - Swing Bed)
• Carlinville Area Hospital Association
• Carlinville Area Hospital Association

• Chiropractor in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.