NPIMap

Individual provider Active NPI

Lachelle Campbell, M.D.

  • Family Medicine Physician
  • Mount Airy, MD
National Provider Identifier
1184870271
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D86104 Issued in MD
Practice address
504 E Ridgeville Blvd Ste 120
Mount Airy, MD 21771-5942
Phone
(240) 215-6370
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D86104 MD Primary
Family Medicine Physician 207Q00000X 2011-01176 NC
Student in an Organized Health Care Education/Training Program 390200000X BP10030920 TX
Family Medicine Physician 207Q00000X 0101252713 VA

Addresses

Primary practice location

504 E Ridgeville Blvd Ste 120
Mount Airy, MD 21771-5942

Mailing address

13540 Hull Street Rd
Midlothian, VA 23112-2107
Phone (804) 739-6142

Other practice location 1

13540 Hull Street Rd
Midlothian, VA 23112-2107
Phone (804) 739-6142

Other identifiers 1

IdentifierTypeStateIssuer
C09633OtherVAGROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000557 VA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9436321106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Memorial Regional Medical Center LLCGroup PAC ID 6507775293, 15 clinicians

Practice addresses (Care Compare)

10150 Staples Mill Rd
Suite C
Glen Allen, VA 23060-3452
Phone (804) 755-7581

1510 N 28TH St
Suite 210
Richmond, VA 23223-5311
Phone (804) 730-1481

8200 Meadowbridge Rd
Suite 306
Mechanicsville, VA 23116-2337
Phone (804) 764-1253

Hospital & facility affiliations

  • James River Home Health Agency Home health agency, Richmond, VA, CCN 497706
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10030920TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours Memorial Regional Medical Center Inc CurrentSince Aug 13, 2023 Accepting new patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Bon Secours St. Francis Medical Center LLC Family Medicine Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Family Medicine Past Accepting new patients
Bon Secours St. Francis Medical Center, Inc. Family Medicine Past Accepting new patients

Locations

10150 Staples Mill Rd
Ste C
Glen Allen, VA 23060
Phone (804) 755-7581

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

8220 Meadowbridge Rd
Ste 306
Mechanicsvlle, VA 23116
Phone (804) 764-1253

13700 St Francis Blvd
Ste 502
Midlothian, VA 23114
Phone (804) 423-8462

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1184870271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122107",
            "telephone_number": "804-739-6142",
            "fax_number": "804-739-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E RIDGEVILLE BLVD STE 120",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715942",
            "telephone_number": "240-215-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13540 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122107",
            "country_code": "US",
            "telephone_number": "804-739-6142",
            "fax_number": "804-739-8923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LACHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D86104",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01176",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10030920",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252713",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.