Individual provider Active NPI

Amy Renee Campbell, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1285229559
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34664 Issued in TN
Practice address
1211 Union Ave Ste 965
Memphis, TN 38104-6638
Phone
(901) 435-8550
Fax
(901) 478-0781
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213816 AR
Family Nurse Practitioner 363LF0000X 34664 TN Primary

Addresses

Primary practice location

1211 Union Ave Ste 965
Memphis, TN 38104-6638

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655
Phone (901) 478-0966

Other practice location 1

1251 Wesley Dr Ste 100
Memphis, TN 38116-6442
Phone (901) 435-8550

Other practice location 2

900 N 7th St
West Memphis, AR 72301
Phone (901) 435-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20210525000030 AR Practitioner - Nurse Practitioner 2062811052 Reassigns benefits to 4 organizations
I20230929000355 TN Practitioner - Nurse Practitioner 2062811052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Practice addresses (Care Compare)

1211 Union Ave
Suite 965
Memphis, TN 38104-6638
Phone (901) 435-8550

900 N 7TH St
West Memphis, AR 72301-2001
Phone (901) 763-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34664TNMDNurse Practitioner
34256TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hashmi Medical Associates CurrentSince Oct 1, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jun 24, 2024 Accepting new patients
Specialty Physician Group LLC Family CurrentSince Sep 11, 2023 Accepting new patients
Sudesh Banaji MD PLLC CurrentSince May 12, 2021 Accepting new patients

Locations

1605 2nd St
Earle, AR 72331
Phone (870) 559-3057

332 E Cook St
Forrest City, AR 72335
Phone (870) 630-2233

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

710 N Missouri St
West Memphis, AR 72301
Phone (870) 394-9149

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

1211 Union Ave
Ste 965
Memphis, TN 38104
Phone (901) 435-8550

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1251 Wesley Dr
Ste 100
Memphis, TN 38116
Phone (901) 332-9632

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

Interoperability endpoints

  • Direct secure messaging: acampbell21898@mlh.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1285229559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655",
            "telephone_number": "901-478-0966",
            "fax_number": "901-478-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 965",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-435-8550",
            "fax_number": "901-478-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Wesley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166442",
            "country_code": "US",
            "telephone_number": "901-435-8550",
            "fax_number": "901-395-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "72301",
            "country_code": "US",
            "telephone_number": "901-435-8550",
            "fax_number": "901-478-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "213816",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.