Individual provider Active NPI

Wesley Lloyd Campbell II, DC

  • Chiropractor
  • Conyers, GA
National Provider Identifier
1114638061
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010223 Issued in GA
Practice address
1927 Highway 138 NE Ste 500
Conyers, GA 30013-1254
Phone
(770) 860-8333
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR010223 GA Primary

Addresses

Primary practice location

1927 Highway 138 NE Ste 500
Conyers, GA 30013-1254

Mailing address

1927 Highway 138 NE Ste 500
Conyers, GA 30013-1254
Phone (770) 860-8333

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

State licenses

LicenseStateTypeSpecialty
CHIR010223GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Spine Enterprises Chiropractor CurrentSince Dec 21, 2025 Accepting new patients
Thacker Chiropractic Clinic, LLC Chiropractor CurrentSince Dec 21, 2025 Accepting new patients

Locations

1927 Highway 138 NE
Ste 500
Conyers, GA 30013
Phone (770) 860-8333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1114638061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 HIGHWAY 138 NE STE 500",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131254",
            "telephone_number": "770-860-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 HIGHWAY 138 NE STE 500",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131254",
            "telephone_number": "770-860-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "WESLEY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.