Campus Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAMPUS MEDICAL LLC

Practice address

10850 Providence Rd # 1005
Charlotte, NC 28277-2684

Phone

(844) 888-0404

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

Ericka Martin, APRN

Title

Owner

Phone

(844) 888-0404

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1184201311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 PROVIDENCE RD # 1005",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772684",
            "telephone_number": "844-888-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 PROVIDENCE RD # 1005",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772684",
            "telephone_number": "844-888-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-888-0404",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "campusmedical.com",
            "affiliation": "N",
            "endpointDescription": "organization email",
            "address_1": "10850 Providence Rd # 1005",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanne Campione, CRNA
• Nicolette Campisano, LCSWA
• Gabrielle Nicole Campo, PA-C
• Maytte Campoli, MD
• Seida Campos, SLP-A
• Amilah Qua Canaday, RN
• Rebecca Canady, M.S. CCC-SLP
• Lyssa Canales
• Cody Alexander Canavan, MD
• Amanda Gordon Cancilla, NP

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.