Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery Callaway

Individual provider Medical Physician Assistant · NPI 1912696956

Avery Callaway is a Physician Assistant in Greenville, South Carolina. Qualified in 2023, 3 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

111 Doctors Dr
Greenville, SC 29605-5622
Phone: (864) 797-7150
Fax: (864) 797-7155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 158 Garrett Rd, Edgefield, SC 29824-2214 — (803) 257-1733

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5180 (SC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1912696956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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