Lynnda Joy Campbell, FNP C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN126988NP Issued in GA

Practice address

2920 Marietta Hwy
Ste 142
Canton, GA 30114

Phone

(770) 704-0057

Fax

(770) 704-0223

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DV Pediatrics LLC

  • Primary Care Clinic/Center
  • Canton, GA
  • NPI 1346368149
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1104990258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 MARIETTA HWY",
            "address_2": "STE 142",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-704-0057",
            "fax_number": "770-704-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 MARIETTA HWY",
            "address_2": "STE 142",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-704-0057",
            "fax_number": "770-704-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LYNNDA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN126988NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411013961A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jabre'la Calloway
• Lynne Conatser Camak, FNP
• Paige Bloodworth Camp, MEDICAL DOCTOR
• Angela Campbell
• Kylieann Campbell, WHNP-BC
• Valeria Isabel Campos Munoz
• Daniel Todd Cannon
• Canton Center for Nursing and Healing LLC
• Canton Chiropractic and Massage Inc
• Canton Convalescent Center Inc

• Nurse Practitioner in Canton, GA
• Providers in Canton, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.