Individual provider Active NPI

Payton Nall Campbell, SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1124602339
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14868 Issued in NC
Practice address
1330 Saint Marys St Ste 100
Raleigh, NC 27605-3334
Phone
(919) 577-6807
Fax
(919) 577-6853
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14868 NC Primary

Addresses

Primary practice location

1330 Saint Marys St Ste 100
Raleigh, NC 27605-3334

Mailing address

141 N Main St
Fuquay Varina, NC 27526-1933
Phone (919) 577-6807

Other practice location 1

141 N Main St
Fuquay Varina, NC 27526-1933
Phone (919) 577-6807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000473 NC Practitioner - Qualified Speech Language Pathologist 0547663999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol City Speech Therapy, LLCGroup PAC ID 5799824991, 4 clinicians

Practice addresses (Care Compare)

141 N Main St
Fuquay Varina, NC 27526-1933
Phone (919) 577-6807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14868NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol City Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jul 14, 2021 Accepting new patients

Locations

141 N Main St
Fuquay Varina, NC 27526
Phone (919) 577-6807

1520 Glenwood Ave
#201
Raleigh, NC 27608
Phone (919) 577-6807

1330 Saint Marys St
Ste 100
Raleigh, NC 27605
Phone (919) 577-6807

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1124602339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-577-6807",
            "fax_number": "919-577-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAINT MARYS ST STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053334",
            "telephone_number": "919-577-6807",
            "fax_number": "919-577-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 N Main St",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275261933",
            "country_code": "US",
            "telephone_number": "919-577-6807",
            "fax_number": "919-577-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PAYTON",
        "middle_name": "NALL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-05-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.