NPIMap

Individual provider Active NPI

Ian Campbell, M.D.

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1144464801
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
074011 Issued in GA
Practice address
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone
(404) 558-0082
NPI assigned
Apr 26, 2009
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 58839 KY
Diagnostic Radiology Physician 2085R0202X 074011 GA Primary

Addresses

Primary practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Mailing address

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Other practice location 1

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4181

Other identifiers 1

IdentifierTypeStateIssuer
7100948400MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150722006449 GA Practitioner - Diagnostic Radiology 7517270317 Reassigns benefits to 3 organizations
I20251104000420 KY Practitioner - Diagnostic Radiology 7517270317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vip Imaging PLLCGroup PAC ID 0547323420, 12 clinicians

Practice addresses (Care Compare)

13745 Brittle Rd
Milton, GA 30004-3592
Phone 8655847376403

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58839KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Jan 23, 2020 Accepting new patients
New Lexington Clinic PSC CurrentSince Oct 30, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jan 23, 2020 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
New Lexington Clinic, PSC CurrentSince Oct 30, 2025 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Vip Imaging, PLLC Diagnostic Radiology CurrentSince Jan 20, 2024 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 5, 2024 Accepting new patients
Heartland Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 5, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

1111 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 765-3700

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ian.campbell.1@13059.direct.athenahealth.com
  • Direct secure messaging: ian.campbell.1@8042.direct.athenahealth.com

Organizations & group practices 11

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1144464801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-558-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4181",
            "fax_number": "859-258-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "58839",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "074011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100948400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.