Active NPI
Richard Scott Callan Jr., M.D.
- Pediatrics Physician
- Savannah, GA
National Provider Identifier
1720465982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 080272
- Practice address
- 2 Wheeler St
Savannah, GA 31405 - Phone
- (912) 353-7744
- Fax
- (912) 355-9124
- NPI assigned
- Apr 27, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 080272 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2 Wheeler St
Savannah, GA 31405
Mailing address
2 Wheeler St
Savannah, GA 31405-5700
Phone (912) 353-7744
Other practice location 1
1000 Towne Center Blvd Ste 1000B
Pooler, GA 31322-4129
Phone (912) 353-7744
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080272 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Privia Medical Group of Georgia LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- richard.callan.1@8042.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Pooler, GA
- NPI 1659418077
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1720465982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WHEELER ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055700",
"telephone_number": "912-353-7744",
"fax_number": "912-355-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WHEELER ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-353-7744",
"fax_number": "912-355-9124"
}
],
"practiceLocations": [
{
"address_1": "1000 Towne Center Blvd Ste 1000B",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313224129",
"country_code": "US",
"telephone_number": "912-353-7744",
"fax_number": "912-348-3589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAN",
"first_name": "RICHARD",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "080272",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.