Active NPI
Amy Renee Campbell, APRN
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 34664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34664 | TN | MD | Nurse Practitioner |
| 34256 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hashmi Medical Associates | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Specialty Physician Group LLC | Family | Current | Accepting new patients |
| Sudesh Banaji MD PLLC | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1174842181
AR, Family
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1275032005
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, Nurse Practitioner
-
dba Earle Family Medical Clinic
- Rural Health Clinic/Center
- Earle, AR
- NPI 1639319411
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.