Laura Anne Callaham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24688 Issued in SC

Practice address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021

Phone

(864) 272-0388

NPI assigned

Sep 29, 2020

Sex

Female

Sole proprietor

No

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.

• Musc Affiliate Physicians

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1700465648

  SC

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment NPD
• Musc Affiliate Physicians

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1548849482
  NPD
• University Medical Associates

  • Pediatric Allergy/Immunology Physician
  • Charleston, SC
  • NPI 1902323504
  NPD (past)

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.callaham@tribe513.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2022.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1891302352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GREENE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292084001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAM",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitley L Califf, LISW-CP
• Calissa'S Health Care
• Marie Edith Calixte, M.D.
• Mincs Elie Calixte, M.D.
• Mark Douglas Call, M.D.
• Rebecca B Callaham, LPC
• Caitlin J Callahan, DDS
• Ethan Callahan, RBT
• Jennifer Callahan, MSP, CCC-SLP
• Kathleen Marie Callahan, CRNA

• All providers in Greenville, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.