Active NPI
Marc Andrew Campbell, D.O.
- Surgery Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3242
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q030443 | Medicaid | TN |
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
Enrollment records 1
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
Practice addresses (Care Compare)
10810 Parkside Dr
Suite G 12
Knoxville, TN 37934-1982
Phone (865) 218-7444
Hospital & facility affiliations
- Physicians Regional Medical Center
- Tennova Healthcare-Jefferson Memorial Hospital
- Tennova Healthcare - Newport Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3242 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Knoxville Hma Physician Management, LLC | Surgery | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | 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
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- marc.campbell.1@4694.direct.athenahealth.com
- 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.
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
Surgery
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1275811713
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tennova Healthcare-Newport Medical Center
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
-
dba Tennova Healthcare-Jefferson Memorial Hospital
- General Acute Care Hospital
- Jefferson City, TN
- NPI 1972585347
-
dba Tennova Healthcare North Knoxville Medical Center
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.