Campbell Trail LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAMPBELL TRAIL LLC

Practice address

430 Sir Winston CT
Jonesboro, GA 30238-4561

Phone

(770) 256-5238

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Joshua Miller

Title

Owner

Phone

(770) 256-5238

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1023888039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SIR WINSTON CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SIR WINSTON CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384561",
            "telephone_number": "770-256-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL TRAIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-256-5238"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Butts
• C & J Medical Supplies
• Chishaunna Calhoun, RN
• Adriana Laneisa Callens, BSN, RN, CPN
• Haronepthia C Cameron, BCPC, MCC
• Cynthia Campbell
• Meghan C Campbell, PA-C
• Yasmine N Campbell, CRNA
• Tyra Camper
• Edward C Cardinal, AA

• Community/Behavioral Health Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.