Individual provider Active NPI

Christopher Ryan Campbell, PA-C

  • Physician Assistant
  • Columbus, NC
National Provider Identifier
1033515358
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05839 Issued in NC
Practice address
155 W Mills St Ste 204
Columbus, NC 28722-9462
Phone
(828) 266-0493
NPI assigned
Nov 13, 2014
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3002 SC
Physician Assistant 363A00000X 0110-004789 VA
Physician Assistant 363A00000X 0010-05839 NC Primary

Addresses

Primary practice location

155 W Mills St Ste 204
Columbus, NC 28722-9462

Mailing address

9 Walden Ridge Dr Ste 10
Asheville, NC 28803-8592
Phone (833) 365-7246

Other practice location 1

210 Overland Dr
Greenwood, SC 29646-4069
Phone (833) 365-7246

Other practice location 2

201A Richard St
Easley, SC 29640-1442
Phone (833) 365-7246

Other practice location 3

9 Walden Ridge Dr Ste 10
Asheville, NC 28803-8592
Phone (833) 365-7246

Other practice location 4

300 Regent Park Ct
Greenville, SC 29607-6547
Phone (833) 365-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151030000973 NC Practitioner - Physician Assistant 3870818149 Reassigns benefits to 1 organization
I20191030003108 SC Practitioner - Physician Assistant 3870818149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Kentucky School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physician Group LLCGroup PAC ID 7113267956, 3 clinicians

Practice addresses (Care Compare)

1650 Skylyn Dr
Suite 220
Spartanburg, SC 29307-1069
Phone (864) 671-6492

7201 Brookfield Rd
Columbia, SC 29223-2215
Phone (678) 505-9657

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05839NCMDPhysician Assistant
3002SCMDPhysician Assistant
0110-004789VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Solutions PLLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

9 Walden Ridge Dr
Ste 10
Asheville, NC 28803
Phone (828) 221-0121

155 W Mills St
Ste 204
Columbus, NC 28722
Phone (828) 221-0222

48 Hospital Dr
Columbus, NC 28722
Phone (828) 894-0978

5710 Oleander Dr
Ste 201
Wilmington, NC 28403
Phone (828) 221-0121

201 Richard St
#A
Easley, SC 29640
Phone (828) 221-0121

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHIBD/Endpoint/EIHIBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1033515358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WALDEN RIDGE DR STE 10",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038592",
            "telephone_number": "833-365-7246",
            "fax_number": "828-348-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MILLS ST STE 204",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287229462",
            "telephone_number": "828-266-0493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Overland Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464069",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201A Richard St",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296401442",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Walden Ridge Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038592",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Regent Park Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076547",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3002",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-004789",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

Verify at the official NPI Registry.