Active NPI
Jennifer Anne McCallum, M.D.
- Rheumatology Physician
- Little Rock, AR
National Provider Identifier
1760695944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- E-5172
- Practice address
- 10001 Lile Drive
Little Rock, AR 72205-6217 - Phone
- (501) 227-8000
- Fax
- (501) 221-5854
- NPI assigned
- May 7, 2007
- Last updated
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | E-5172 | AR | Primary |
Addresses
Primary practice location
10001 Lile Drive
Little Rock, AR 72205-6217
Mailing address
10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686481 | Other | AR | MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC |
| 164803001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- University of Arkansas College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000
7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5172 | AR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group | Current | Accepting new patients |
Locations
10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000
16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888
Interoperability endpoints
- jennifer.mccallum.p1@direct.chi-lrdc.nextgenshare.com
- jmccallum457547@direct.stlukeshealth.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
-
dba St Vincent Infirmary Medical Center - GeroPsych Unit
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1710442801
-
dba St. Vincent Health System
- General Acute Care Hospital
- Little Rock, AR
- NPI 1780684431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1760695944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 LILE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056217",
"telephone_number": "501-227-8000",
"fax_number": "501-221-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 LILE DRIVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056217",
"telephone_number": "501-227-8000",
"fax_number": "501-221-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLUM",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "E-5172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC",
"identifier": "686481",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164803001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.