Campbell Clinic, PC
Organization Active NPI Orthopaedic Surgery Physician · Germantown, TN
NPI 1003835141 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1003835141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CAMPBELL CLINIC, PC
- Practice address
- 1400 S Germantown Rd
Germantown, TN 38138-2205 - Phone
- (901) 759-3100
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Daniel Shumate
- Title
- Ceo
- Phone
- (901) 759-3100
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 22
Practitioners 331
-
Colin Ackerman, MD
-
Tom Austin, DPT
-
Victoria Bailey, PA-C
-
Savanna Marie Barber, PA-C
-
Brittany LD Bays, MS, ATC, PA-C
-
Michael Jason Beebe, M.D.
-
Christopher Michael Bennett, NURSE PRACTITIONER
-
Clayton Charles Bettin, M.D.
-
Kelly Billings, PA
-
Matthew Kyle Bills, PA-C
-
Jeremy Aurbrey Blanzy, FNP-BC
-
James Wade Bolton, DC, APRN, FNP-C
-
Jason Andrew Brashear, M.D.
-
Tyler James Brolin, M.D.
-
Mary Ann H Bryan, PT, DPT
-
David E Burstedt, MD
-
James Travis Burt, M.D., F.A.C.S.
-
James H Calandruccio, M.D.
-
Chad Campion, M.D,
-
Melinda Laughter Carden, PT, DPT, OCS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MS, TN, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000385 | MS | Part B Supplier - Clinic/Group Practice | 9638082076 |
Receives reassigned benefits from 117 practitioners Practice locations: Southaven, MS; Olive Branch, MS; Oxford, MS |
| O20040615000216 | TN | Part B Supplier - Clinic/Group Practice | 9638082076 |
Receives reassigned benefits from 278 practitioners 1 other NPI on this enrollment Practice locations: Johnson City, TN; Sparta, TN; Millington, TN; Memphis, TN; McMinnville, TN; Livingston, TN; Kingsport, TN; Jackson, TN… |
| O20100930000393 | TN | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 9638082076 |
1 other NPI on this enrollment Practice locations: Germantown, TN |
| O20250423003676 | VA | Part B Supplier - Clinic/Group Practice | 9638082076 |
Receives reassigned benefits from 14 practitioners Practice locations: Abingdon, VA |
National Provider Directory
Locations
1211 Union Ave
Ste 500
Memphis, TN 38104
Phone (901) 759-3275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician |
207QS0010X | |||
| Internal Medicine Physician |
207R00000X | |||
| Neurological Surgery Physician |
207T00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Foot Surgery Podiatrist |
213ES0131X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1400 S Germantown Rd
Germantown, TN 38138-2205
Mailing address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09010261 | Medicaid | MS | |
| 107015002 | Medicaid | AR | |
| 81355 | Other | AR | BLUE CROSS BLUE SHIELD AR |
| 3373783 | Medicaid | TN |
Other providers in Germantown, TN
- Dawson Brianna Callonas
- Campbell Clinic
- Campbell Clinic PC
- Campbell Clinic PC
- Campbell Clinic Surgery Center, LLC
- Angela Campbell
- Jasmine Elyse Campbell
- Kimberly Campbell
- Chad Campion
- Callie Mae Canfield
All providers in Germantown, TN · Orthopaedic Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.