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AVERY CALLAWAY
NPI 1912696956
Physician Assistant - Surgical in Greenville, SC

Active since May 04, 2023PECOS EnrolledAccepts Medicare Assignment
111 DOCTORS DR, GREENVILLE, SC 29605(864) 797-7150(864) 797-7155 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2026, May 4, 2023 (2 updates tracked since 2023).

About Avery Callaway NPPES

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

AVERY CALLAWAY (NPI 1912696956) is an individual surgical provider in Greenville, South Carolina, licensed in South Carolina (5180) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912696956
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAVERY CALLAWAY
Location Address111 DOCTORS DRGreenville, SC 29605-5622
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(864) 797-7150
Fax(864) 797-7155
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 4, 2023
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1912696956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 5180
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
111 DOCTORS DR, Greenville, SC 29605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Avery Callaway 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 ID5193165157
PECOS Enrollment IDI20240424004134
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ROBERT MICHAEL WOOD M.D.
Orthopaedic Surgery
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7150
MRS. RACHAEL HINSON LEWIS
Nurse Practitioner (Acute Care)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7060
DAPHNE JO AREEPHANTHU APRN
Nurse Practitioner (Family)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7100
LEE ASHLEY MULLINAX MD
Anesthesiology (Pain Medicine)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7100
LAURYN CLAIRE HUTTO
Physician Assistant (Surgical)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7150
KELSEY MARIE ANDERSSON DPT
Physical Therapist
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7020
MS. AMY C SWEET PA
Physician Assistant
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7150
ALISON TOWLE FOGARTY NP-C
Nurse Practitioner (Family)
111 DOCTORS DR
GREENVILLE, SC 29605
Greenville County (864) 797-7100

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 Avery Callaway's NPI number?

The NPI number for Avery Callaway is 1912696956. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Avery Callaway located?

Avery Callaway practices at 111 Doctors Dr, Greenville, SC 29605. The listed phone number is (864) 797-7150.

What is Avery Callaway's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Avery Callaway enrolled in Medicare?

Yes. Avery Callaway 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.

What insurance does Avery Callaway accept?

Health plans from Molina Healthcare list Avery Callaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avery Callaway was last updated on April 20, 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.