Individual provider Active NPI

Marc Andrew Campbell, D.O.

  • Surgery Physician
  • Knoxville, TN
National Provider Identifier
1134416126
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3242 Issued in TN
Practice address
10810 Parkside Dr Ste G-12
Knoxville, TN 37934-1982
Phone
(865) 218-6085
Fax
(865) 218-6086
NPI assigned
Jun 29, 2011
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3242 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste G-12
Knoxville, TN 37934-1982

Mailing address

10810 Parkside Dr Ste G-12
Knoxville, TN 37934-1982
Phone (865) 218-6085

Other practice location 1

800 Oak Ridge Tpke Ste A403
Oak Ridge, TN 37830-6957
Phone (865) 218-6085

Other practice location 2

10744 Hardin Valley Rd Ste 106
Knoxville, TN 37932-1407
Phone (865) 218-6085

Other identifiers 1

IdentifierTypeStateIssuer
Q030443MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824001823 TN Practitioner - General Surgery 7214209311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Suite G 12
Knoxville, TN 37934-1982
Phone (865) 218-7444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3242TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Surgery CurrentSince Jun 1, 2020 Accepting new patients
Knoxville Hma Physician Management, LLC Surgery CurrentSince Jun 5, 2023 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jun 1, 2020 Accepting new patients
Wellmont Medical Associates, Inc. Past Accepting new patients
Knoxville Hma Cardiology PPM, LLC Past Accepting new patients

Locations

10744 Hardin Valley Rd
Ste 106
Knoxville, TN 37932
Phone (865) 357-3790

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

10810 Parkside Dr
Ste G-12
Knoxville, TN 37934
Phone (865) 218-6085

1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

120 Administration Rd
Oak Ridge, TN 37830
Phone (865) 483-7030

800 Oak Ridge Tpke
Ste A403
Oak Ridge, TN 37830
Phone (865) 218-6085

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marc.campbell.1@4694.direct.athenahealth.com
  • Direct secure messaging: marc.campbell@ugs.directbygreenway.com

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1134416126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE G-12",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341982",
            "telephone_number": "865-218-6085",
            "fax_number": "865-218-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE G-12",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341982",
            "telephone_number": "865-218-6085",
            "fax_number": "865-218-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oak Ridge Tpke Ste A403",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306957",
            "country_code": "US",
            "telephone_number": "865-218-6085",
            "fax_number": "865-218-6086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10744 Hardin Valley Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379321407",
            "country_code": "US",
            "telephone_number": "865-218-6085",
            "fax_number": "865-218-6086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARC",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "3242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q030443",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.