Active NPI
David Campbell, PHD
- Psychologist
- Athens, GA
National Provider Identifier
1043498751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002867
- Practice address
- 55 Carlton St
Athens, GA 30602-1526 - Phone
- (706) 542-8621
- Fax
- (706) 583-0217
- NPI assigned
- Feb 5, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002867 | GA | Primary |
Addresses
Primary practice location
55 Carlton St
Athens, GA 30602-1526
Mailing address
55 Carlton St
Athens, GA 30602-1526
Phone (706) 542-8621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002867 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1043498751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CARLTON ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306021526",
"telephone_number": "706-542-8621",
"fax_number": "706-583-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CARLTON ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306021526",
"telephone_number": "706-542-8621",
"fax_number": "706-583-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DAVID",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.