KELLY M MCCALLUM (APN) – Nurse Practitioner, NPI 1396900700
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2024-03-20. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Nurse Practitioner
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NPPES metrics only — not quality of care.
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Provider Addresses for KELLY M MCCALLUM (APN)
Parr Avenue, Dyersburg, Dyer County, Tennessee, 38024, United States
SUITE 3
DYERSBURG, TN 380242029
Phone: (731) 286-8007
Fax: (731) 286-8019
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38024)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TN | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 25 | 22 |
| NURSE PRACTITIONER | TN | 94727 | Determination of lung volumes using gas dilution or washout | 19 | 16 |
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