Active NPI
John J Campbell, M.D.
- Diagnostic Radiology Physician
- Foley, AL
National Provider Identifier
1003899345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 26297
- Practice address
- 1613 N McKenzie St
Foley, AL 36535-2247 - Phone
- (251) 949-1513
- Fax
- (251) 621-4837
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 26297 | AL | Primary |
Addresses
Primary practice location
1613 N McKenzie St
Foley, AL 36535-2247
Mailing address
PO Box 8063
Spanish Fort, AL 36577-8063
Phone (251) 621-6471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51000323 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26297 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Baldwin Diagnostic Imagine Associates, P.C. | Current | Accepting new patients | |
| Oia of Fort Walton | Diagnostic Radiology | Past | Accepting new patients |
Locations
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
Interoperability endpoints
- https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
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.
-
- Specialist
- Foley, AL
- NPI 1124000856
-
- Radiology Clinic/Center
- Fort Walton Beach, FL
- NPI 1902473614
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1003899345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8063",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365778063",
"telephone_number": "251-621-6471",
"fax_number": "251-621-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352247",
"telephone_number": "251-949-1513",
"fax_number": "251-621-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "26297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51000323",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.