Mashanda Tonyeka Campbell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

70864 Issued in GA

Practice address

990 Whitlock Ave NW Ste a
Marietta, GA 30064-1940

Phone

(770) 943-7808

NPI assigned

May 20, 2011

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Family Practice

Education

Morehouse School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

National Family Medical Associates of Georgia, LLCGroup PAC ID 3870940448, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crescent Home Health Home health agency, Adel, GA, CCN 117087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEIDDD/Endpoint/HEIDDD

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.

• National Family Medical Associates of Georgia, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1396527321
  Medicare reassignment Care Compare group NPD
• We Care MD, P.C.

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1679760433
  NPD (past)

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

• Suncrest Home Health of South Ga, Inc.

  dba Crescent Home Health

  • Home Health Agency
  • Adel, GA
  • NPI 1457583718
  Care Compare affiliation

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1174816383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WHITLOCK AVE NW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641940",
            "telephone_number": "770-943-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Westview Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101458",
            "country_code": "US",
            "telephone_number": "404-752-1857",
            "fax_number": "404-752-8682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MASHANDA",
        "middle_name": "TONYEKA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "70864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginnie Campbell, RN
• Ismay Campbell, D.C.
• Jeremy H Campbell, PT
• Julian H Campbell, DMD
• Karen J Campbell, APRN, PNP
• Shequita Nicole Campbell, LMSW
• Lawren Ardella Camper
• Tynia Canada
• Aaron D Cann, MD
• Alexis Cannon, RBT

• Family Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.

Verify at the official NPI Registry.