Organization Active NPI

James William Campbell

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, GA
National Provider Identifier
1184805863
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAMES WILLIAM CAMPBELL
Doing business as
James William Campbell dba MedReps Online
Practice address
200 Glen Eagle CT
Ste 2a
Carrollton, GA 30117-4267
Phone
(770) 214-7655
Fax
(770) 214-7656
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. James William Campbell, CFO
Title
Owner
Phone
(770) 214-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

200 Glen Eagle CT
Ste 2a
Carrollton, GA 30117-4267

Mailing address

200 Glen Eagle CT
Ste 2a
Carrollton, GA 30117-4267
Phone (770) 214-7655

Other names 1

  • James William Campbell dba MedReps Online Doing business as

National Provider Directory

National Provider Directory

Locations

200 Glen Eagle Ct
Ste 2A
Carrollton, GA 30117
Phone (770) 214-7655

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1184805863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLEN EAGLE CT",
            "address_2": "STE 2A",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174267",
            "telephone_number": "770-214-7655",
            "fax_number": "770-214-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLEN EAGLE CT",
            "address_2": "STE 2A",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174267",
            "telephone_number": "770-214-7655",
            "fax_number": "770-214-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES WILLIAM CAMPBELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-214-7655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James William Campbell dba MedReps Online",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.