Linda Frye Campbell, PSYCHOLOGIST

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

966 Issued in GA

Practice address

1199 Prince Ave
Athens, GA 30606-2797

Phone

(954) 401-4185

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1285334789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WHARFSIDE CT",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423438",
            "telephone_number": "678-234-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "954-401-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LINDA",
        "middle_name": "FRYE",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "GA",
            "license": "966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Middlebrooks Camp, M. ED.
• Cassie Nicol Campbell, MD
• David Campbell, PHD
• Dorothy Campbell, LPN
• Hailey S Campbell, APRN, FNP-BC
• Millie Campbell
• Paige Campbell, LCSW
• Richard D Campbell, M.D.
• Theodore Hodges Campbell IV
• Chanda Brooke Canalis, M.ED. CCC SLP

• Health Service Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Health Service Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.