NPIMap

Individual provider Active NPI

George William Campbell, MD

  • Family Medicine Physician
  • Westminster, SC
National Provider Identifier
1053313635
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11770 Issued in SC
Practice address
111 W Main St
Westminster, SC 29693-1668
Phone
(864) 647-1820
Fax
(864) 647-0403
NPI assigned
Aug 12, 2005
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11770 SC Primary

Addresses

Primary practice location

111 W Main St
Westminster, SC 29693-1668

Mailing address

111 W Main St
Westminster, SC 29693-1668
Phone (864) 647-1820

Other identifiers 1

IdentifierTypeStateIssuer
117705MedicaidSC

Other names 1

  • Billy Campbell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000795 SC Practitioner - Family Practice 5991849721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothills Family Medicine of Westminster PAGroup PAC ID 7719021542, 4 clinicians

Practice addresses (Care Compare)

111 W Main St
Westminster, SC 29693-1668
Phone (864) 647-1820

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11770SCMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Family Medicine of Westminster PA Family Medicine CurrentSince Feb 17, 2010 Accepting new patients

Locations

111 W Main St
Westminster, SC 29693
Phone (803) 647-1820

Interoperability endpoints

  • Direct secure messaging: georgecampbell@ffmw.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medical Services of America Hospice of the UpstateGreenville, SC, CCN 421554 Hospice Contracted Managing Employee Feb 14, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Tri County Hospice, Inc.

    dba Medical Services of America Hospice of the Upstate

    • Community Based Hospice Care Agency
    • Greenville, SC
    • NPI 1255389714

    Contracted Managing Employee

    CMS ownership

Organizations & group practices 1

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 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1053313635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296931668",
            "telephone_number": "864-647-1820",
            "fax_number": "864-647-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296931668",
            "telephone_number": "864-647-1820",
            "fax_number": "864-647-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117705",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "CAMPBELL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, SC

Sources for this page

Verify at the official NPI Registry.