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JIMMIE MCCALLISTER DC,QME
NPI 1114945763
Chiropractor in Livermore, CA

Active since July 18, 2006Accepts Medicare Assignment
1554 HOLMES ST, BLDG D, LIVERMORE, CA 94550(925) 449-4884(925) 449-5596 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jimmie Mccallister Dc,qme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMIE MCCALLISTER DC,QME (NPI 1114945763) is an individual chiropractor in Livermore, California, licensed in California (154530) and active in the NPI registry since July 2006. He is a graduate of Life Chiropractic College - West (1983).

NPPES Registry Identity

NPI1114945763
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJIMMIE MCCALLISTERCredential: DC,QME
Location Address1554 HOLMES ST, BLDG DLivermore, CA 94550
Mailing Address1554 Holmes St., Bldg DLivermore, CA 94550 · (925) 449-4884 · Fax (925) 449-5596
Phone(925) 449-4884
Fax(925) 449-5596
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 1983
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1114945763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 154530
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1554 HOLMES ST, Livermore, CA 94550
Open in Google Maps ↗

Other Identifiers 1

Medicare PINDC0154530CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jimmie Mccallister Dc,qme is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204895394
PECOS Enrollment IDI20041005000732

Medicare Billing Reassignment

Medicare enrollment records show Jimmie Mccallister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr J L Mccallister
1.1 mi
Chiropractor
60 FENTON ST STE 4
Livermore, CA 94550
  • Reassigned Medicare billing, California enrollment
NPI 1962532762 (925) 449-4884

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
128 services16 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmie Mccallister's NPI number?

The NPI number for Jimmie Mccallister is 1114945763. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jimmie Mccallister located?

Jimmie Mccallister practices at 1554 Holmes St Bldg D, Livermore, CA 94550. The listed phone number is (925) 449-4884.

What is Jimmie Mccallister's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jimmie Mccallister enrolled in Medicare?

Yes. Jimmie Mccallister is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jimmie Mccallister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimmie Mccallister reassigns Medicare benefits to Dr J L Mccallister (Livermore, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimmie Mccallister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jimmie Mccallister was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.