Raven M. Campbell-Smith, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

890984 Issued in MS

Practice address

300 Highland Blvd Ste B
Natchez, MS 39120-4600

Phone

(601) 304-2421

Fax

(601) 446-6428

NPI assigned

Jun 26, 2014

Sex

Female

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.

• MDB Behavioral Health Services LLC

  • Rural Health Clinic/Center
  • Vicksburg, MS
  • NPI 1669835310

  MS

  Medicare reassignment Care Compare group NPD
• Minor Med Care, LLC

  • Primary Care Clinic/Center
  • Jackson, MS
  • NPI 1407968738

  MS

  Medicare reassignment Care Compare group NPD
• Premier Health & Wellness Clinic

  • Primary Care Nurse Practitioner
  • Natchez, MS
  • NPI 1366108805

  MS, Primary Care

  Medicare reassignment NPD Authorized official
• Uppal Medical Center LLC

  • Rural Health Clinic/Center
  • Greenville, MS
  • NPI 1558927905

  MS

  Medicare reassignment NPD
• C H Wilkinson Physician Network

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947

  LA

  Medicare reassignment NPD
• Impact Behavioral Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
  • NPI 1386169050

  MS

  Medicare reassignment NPD
• Minor Med Care, LLC

  • Rural Health Clinic/Center
  • Raymond, MS
  • NPI 1669575627
  Care Compare group NPD
• Louisiana Health Care Practitioners LLC

  • Rural Health Clinic/Center
  • Mansura, LA
  • NPI 1811065220

  LA

  Medicare reassignment
• C H Wilkinson Physician Network

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1750826095
  NPD
• Premier Health & Wellness Clinic LLC

  • Licensed Practical Nurse
  • Natchez, MS
  • NPI 1558764464
  NPD (past)

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

• Natchez Hospital Company LLC

  • General Acute Care Hospital
  • Natchez, MS
  • NPI 1164821559

  Hospital

  Care Compare affiliation
• Sta-Home Health Agency of Jackson, Inc.

  • Home Health Agency
  • Clinton, MS
  • NPI 1356482749
  Care Compare affiliation
• Concordia Parish Hospital Service District Number One

  • Critical Access Hospital
  • Ferriday, LA
  • NPI 1144227935

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minor Med Care, LLC 77 clinicians

MDB Behavioral Health Services LLC 201 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• Merit Health Natchez Hospital, Natchez, MS, CCN 250084
• Riverland Medical Center Hospital, Ferriday, LA, CCN 191318

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

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

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1235544339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B LINCOLN AVE",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342046",
            "telephone_number": "225-288-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND BLVD STE B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204600",
            "telephone_number": "601-304-2421",
            "fax_number": "601-446-6428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 Leo Ivy Rd",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "LA",
            "postal_code": "713734301",
            "country_code": "US",
            "telephone_number": "225-288-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100B Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342046",
            "country_code": "US",
            "telephone_number": "225-288-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL-SMITH",
        "first_name": "RAVEN",
        "middle_name": "M.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "890984",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07860",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "890984",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly H Burkley, MS,CCC-SLP
• Brynna Korin Burnsed, PA
• Donna E Burris, LCSW
• Byrons Drug Store Inc
• Angela Calcote, APRN, NP-C
• Haley Sharp Campbell, DPT
• Lee George Campbell, DDS
• Christopher Logan Cantu, DPT
• Cardiology Associates of Natchez
• Care Transportation, LLC

• All providers in Natchez, MS
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.