CALLOWAY PRIMARY CARE & WELLNESS LLC
NPI 1164379830
Nurse Practitioner in Indian Land, SC

Q: What is Calloway Primary Care & Wellness LLC's NPI number?

The NPI number for Calloway Primary Care & Wellness LLC is 1164379830. It was assigned to this organization in the NPPES registry on March 12, 2026.

Q: What is Calloway Primary Care & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 12, 2026

4184 DOBYS BRIDGE RD STE 104, INDIAN LAND, SC 29707(704) 533-8905 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Mar 12, 2026 (2 updates tracked since 2026).

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About Calloway Primary Care & Wellness Llc NPPES

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

CALLOWAY PRIMARY CARE & WELLNESS LLC (NPI 1164379830) is a healthcare organization registered as a nurse practitioner in Indian Land, South Carolina and active in the NPI registry since March 2026. The organization lists Cassandra Calloway, Owner, as its authorized official.

NPPES Registry Identity

NPI1164379830

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCALLOWAY PRIMARY CARE & WELLNESS LLC

Location Address4184 DOBYS BRIDGE RD STE 104Indian Land, SC 29707-6910

Mailing Address4184 Dobys Bridge Rd Ste 104Indian Land, SC 29707-6910 · (704) 533-8905

Phone(704) 533-8905

Organization SubpartNo

Authorized OfficialCassandra CallowayOwner · (704) 533-8905

Enumeration DateMarch 12, 2026

Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1164379830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4184 DOBYS BRIDGE RD STE 104, Indian Land, SC 29707

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSANDRA NICOLE CALLOWAY FNP

Nurse Practitioner (Family)

4184 DOBYS BRIDGE RD STE 104
INDIAN LAND, SC 29707

Lancaster County (803) 548-2230

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 Calloway Primary Care & Wellness LLC's NPI number?

The NPI number for Calloway Primary Care & Wellness LLC is 1164379830. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Calloway Primary Care & Wellness LLC located?

Calloway Primary Care & Wellness LLC is located at 4184 Dobys Bridge Rd Ste 104, Indian Land, SC 29707. The listed phone number is (704) 533-8905.

What is Calloway Primary Care & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Calloway Primary Care & Wellness LLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.