Individual provider Active NPI

Haley Sharp Campbell, DPT

  • Physical Therapist
  • Natchez, MS
National Provider Identifier
1003648429
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11910 Issued in LA
Practice address
495 John R Junkin Dr
Natchez, MS 39120-3825
Phone
(601) 600-2515
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11910 LA Primary

Addresses

Primary practice location

495 John R Junkin Dr
Natchez, MS 39120-3825

Mailing address

1868 Ratcliff Rd
Sicily Island, LA 71368-4607
Phone (318) 531-9099

Other practice location 1

6569 Highway 84
Ferriday, LA 71334-4573
Phone (318) 757-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202002035 LA Practitioner - Physical Therapist in Private Practice 2860927746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy, LLCGroup PAC ID 2062738172, 3 clinicians

Practice addresses (Care Compare)

4616 Hwy 84 W
Vidalia, LA 71373-3357
Phone (318) 336-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy, LLC CurrentSince Dec 15, 2024 Accepting new patients
Ellard Physical Therapy Physical Therapist CurrentSince Aug 18, 2024 Accepting new patients

Locations

495 John R Junkin Dr
Natchez, MS 39120
Phone (601) 600-2515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1003648429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 RATCLIFF RD",
            "city": "SICILY ISLAND",
            "state": "LA",
            "postal_code": "713684607",
            "telephone_number": "318-531-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 JOHN R JUNKIN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203825",
            "telephone_number": "601-600-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6569 Highway 84",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713344573",
            "country_code": "US",
            "telephone_number": "318-757-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HALEY",
        "middle_name": "SHARP",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.