Individual provider Active NPI

Cindy Jo Campbell, NP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1245795541
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-148720 Issued in AL
Practice address
504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone
(205) 871-9661
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-148720 AL Primary

Addresses

Primary practice location

504 Brookwood Blvd
Birmingham, AL 35209-6802

Mailing address

504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone (205) 871-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190318002401 AL Practitioner - Nurse Practitioner 3971843566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-148720ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Oct 7, 2022 Accepting new patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Jan 2, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 7, 2022 Accepting new patients
Premier Allergist of Florida LLC PastSince Jan 21, 2019 Accepting new patients

Locations

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

2022 2nd Ave E
Oneonta, AL 35121
Phone (205) 545-5090

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

Interoperability endpoints

  • Direct secure messaging: cindy.campbell.1@15135.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1245795541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096802",
            "telephone_number": "205-871-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096802",
            "telephone_number": "205-871-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CINDY",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.