CORY CALLAHAN PA-C
NPI 1932647112
Physician Assistant - Surgical in Johnson City, TN

Q: What is Cory Callahan's NPI number?

The NPI number for Cory Callahan is 1932647112. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Q: What is Cory Callahan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cory Callahan was last updated on February 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 07, 2017PECOS EnrolledAccepts Medicare Assignment

410 N STATE OF FRANKLIN RD STE 140, JOHNSON CITY, TN 37604(423) 431-2460 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2023, Oct 28, 2022, Dec 21, 2017 and 1 more (4 updates tracked since 2017).

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About Cory Callahan Pa-c NPPES

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

CORY CALLAHAN PA-C (NPI 1932647112) is an individual surgical provider in Johnson City, Tennessee, licensed in Tennessee (5089) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932647112

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameCORY CALLAHANCredential: PA-C

Location Address410 N STATE OF FRANKLIN RD STE 140Johnson City, TN 37604-6972

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(423) 431-2460

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 7, 2017

Last NPPES UpdateFebruary 27, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1932647112 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 TN · 5089

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1675 (ME), 5089 (TN)

410 N STATE OF FRANKLIN RD STE 140, Johnson City, TN 37604

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Secondary Practice Locations 2

Location 1417 State St, Suite 340Bangor, ME 04401 · Phone (207) 973-4949 · Fax (207) 973-4466

Location 2378 Marketplace Blvd Ste 5Johnson City, TN 37604-2361 · Phone (423) 282-0751

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Cory Callahan Pa-c 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 ID3476838228

PECOS Enrollment IDI20221110003246

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services45 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

28 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

DANIEL E. KRENK MD

Orthopaedic Surgery (Orthopaedic Trauma)