Treadwell Campbell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14038 Issued in SC

Practice address

2835 E Highway 76
Suite 6
Mullins, SC 29574-6038

Phone

(843) 431-9882

Fax

(843) 431-9879

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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.

• Campbell Family Practice

  • Family Medicine Physician
  • Mullins, SC
  • NPI 1477768844

  Family Medicine, SC

  Medicare reassignment NPD Authorized official
• Comprehensive Hospitalist Services of South Carolina

  • Hospitalist Physician
  • Gaffney, SC
  • NPI 1598196412
  NPD (past)

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

• Medical University Hospital Authority

  • General Acute Care Hospital
  • Mullins, SC
  • NPI 1447723945

  Hospital

  Care Compare affiliation

Specialty

Family PracticeAlso: Emergency Medicine

Education

Meharry Medical College School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205939550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1033",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295741033",
            "telephone_number": "843-431-9882",
            "fax_number": "843-431-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 E HIGHWAY 76",
            "address_2": "SUITE 6",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746038",
            "telephone_number": "843-431-9882",
            "fax_number": "843-431-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TREADWELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "14038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL4592",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Brown Jr., PHARM.D.
• Maticia Brunson
• Campbell Family Practice
• Campbell Family Practice, P.a.
• Campbell Medical Supply
• Carolina Wren Sleep Service LLC
• James R Carroll, MD
• Mark Carroll, MD
• John Kenneth Carter Sr.
• Coretta Casley, MASTER

• All providers in Mullins, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.