Annyce Ramona Campbell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

08563 Issued in MS

Practice address

4510 Hanging Moss Rd
Jackson, MS 39206-3962

Phone

(769) 257-5713

Fax

(769) 257-5715

NPI assigned

Sep 28, 2006

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

Other identifiers 1

Other names 1

• Dr. Annyce Ramona Campbell-Bulter Other name

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1306938592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 HANGING MOSS RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063962",
            "telephone_number": "769-257-5713",
            "fax_number": "769-257-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 HANGING MOSS RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063962",
            "telephone_number": "769-257-5713",
            "fax_number": "769-257-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANNYCE",
        "middle_name": "RAMONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012698",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNYCE",
            "last_name": "CAMPBELL-BULTER",
            "middle_name": "RAMONA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• April A Calvert, NP
• Graham Carr Calvert, M.D.
• Camellia Hospice of Central Mississippi, LLC
• Camille Sandifer, DMD, MSD Inc
• Rachael Todd Campassi, MD
• Caitlin Elizabeth Campbell, RN, FNP-BC
• D'Andrea R Campbell, PHARMD
• Erin Campbell, LCSW
• Garth Seamus Campbell, M.D.
• Guy Douglas Campbell, MD

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.