Sheri Campbell, MD
Individual provider Active NPI Gynecology Physician · Villa Rica, GA
NPI 1134192529 · NPPES record last updated Jun 18, 2010
Key facts
- NPI
- 1134192529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 058445 (GA)
- Practice address
- 690 Dallas Hwy
Suite 301
Villa Rica, GA 30180-1264 - Phone
- (770) 456-3850
- Fax
- (770) 456-3826
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Wake Forest University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
120 Greystone Power Blvd
Dallas, GA 30157-8297
1700 Hospital S Dr
Austell, GA 30106-8159
1791 Mulkey Rd
Austell, GA 30106-1124
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar Paulding Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070412000238 | GA | Practitioner - Obstetrics/Gynecology | 7810996972 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22614 | SC | MD | Obstetrics & Gynecology Physician |
| 058445 | GA | MD | Gynecology Physician |
| 18919 | SC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Cobb Hospital, Inc | Past | Accepting new patients |
Locations
1791 Mulkey Rd
Ste 200
Austell, GA 30106
Phone (770) 732-5400
119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710
157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886
120 Greystone Power Blvd
Ste 100
Dallas, GA 30157
Phone (678) 945-8345
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
690 Dallas Hwy
Ste 301
Villa Rica, GA 30180
Phone (770) 456-3850
705 Dallas Hwy
Ste 203A
Villa Rica, GA 30180
Phone (770) 456-3641
Interoperability endpoints
- scampbell130780@directwellstar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22614 | SC | |
| Gynecology Physician | 207VG0400X | 058445 | GA | Yes |
Addresses
Primary practice location
690 Dallas Hwy
Suite 301
Villa Rica, GA 30180-1264
Mailing address
119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone (770) 456-3850
Other providers in Villa Rica, GA
- Shazaria Calhoun
- Calming Spirits Caregivers LLC
- Bruce Anthony Camp
- Nathaniel Camp
- Letha Campbell
- Carrie Cares Transportation
- William Mason Carroll
- William Thomas Carroll III
- Carrollton Orthopaedic Clinic PC
- Carrollton Orthopaedic Clinic, PC
All providers in Villa Rica, GA · Gynecology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.