Kelly Mccallum, APN

NPI 1396900700 · on the registry since 2008 · sole proprietor

Federal exclusion record

The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.

Kelly Mccallum Lexington, KY

Reason: Conviction of program-related crimes
Authority: Section 1128a1 · mandatory · 5 years minimum
Excluded: 2024-03-20
Recorded as: Nurse Practitioner (

Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.

Practice

Address: 2490 Parr Ave
Suite 3
Dyersburg, TN 38024
Phone: (731) 286-8007
Fax: (731) 286-8019
Organisation at this address: Bcp 1, Llc
Bcp 1, Llc
C & C Pharmacy, Llc
Convienent Care Clinic
Bcp1, Llc Long Term Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee