Individual provider Active NPI

Mobola T Campbell, M.D. MPH

  • Infectious Disease Physician
  • St Petersburg, FL
National Provider Identifier
1295940138
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME146512 Issued in FL
Practice address
1839 Central Ave
St Petersburg, FL 33713-9089
Phone
(727) 322-1054
Fax
(727) 821-7213
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME146512 FL
Infectious Disease Physician 207RI0200X ME146512 FL Primary

Addresses

Primary practice location

1839 Central Ave
St Petersburg, FL 33713-9089

Mailing address

1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054

Other names 1

  • Mobola Tolulope Campbell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729003239 FL Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Hospitalist 4082702907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLC 507 clinicians
Florida Medical Associates LLC 162 clinicians

Practice addresses (Care Compare)

1920 W Brandon Blvd
Brandon, FL 33511-4814
Phone (813) 662-3777

4250 Bee Ridge Rd
Sarasota, FL 34233-2563
Phone (941) 909-2717

5238 -16 Norwood Ave
Jacksonville, FL 32208-5005
Phone (904) 861-1222

Merit-based Incentive Payment System (MIPS)

Final score
70.73 of 100Reported as group
Quality
8.6
Promoting interoperability
90
Improvement activities
40
Cost
68.84

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME146512FLMDInternal Medicine Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Oct 1, 2025 Accepting new patients
Soaringwell LLC Internal Medicine CurrentSince Dec 18, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Mar 1, 2022 Accepting new patients
Sunstate Healthcare LLC Infectious Disease CurrentSince Jan 11, 2024 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Nov 11, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Mar 1, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients

Locations

3547 53rd Ave W
Bradenton, FL 34210

1505 53rd Ave E
Bradenton, FL 34203
Phone (941) 357-7950

500 Vonderburg Dr
Ste 215W
Brandon, FL 33511
Phone (813) 661-0219

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

10018 US Highway 301 N
Parrish, FL 34219
Phone (941) 254-3835

4250 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 909-2717

12120 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 559-8849

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mobola.campbell@sl.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1295940138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337139089",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337139089",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MOBOLA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D. MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME146512",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME146512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOBOLA",
            "last_name": "CAMPBELL",
            "middle_name": "TOLULOPE",
            "credential": "MD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.