John Stephen Campbell, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101046934 Issued in VA

Practice address

184 Hickory Hill Rd
Fishersville, VA 22939-2510

Phone

(540) 932-2222

Fax

(540) 886-7364

NPI assigned

Aug 31, 2006

Last updated

May 6, 2021By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergicare Inc.

  dba Patient Care Plus

  • Family Medicine Physician
  • Staunton, VA
  • NPI 1912949660
  NPD
• Ramt & Acm, Inc

  dba Emergicare of Waynesboro

  • Clinic/Center
  • Waynesboro, VA
  • NPI 1649382425
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1316059199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 HICKORY HILL RD",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392510",
            "telephone_number": "540-932-2222",
            "fax_number": "540-886-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 HICKORY HILL RD",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392510",
            "telephone_number": "540-932-2222",
            "fax_number": "540-886-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101046934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "27181800002",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601689",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "431536",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Burnett, PA
• Pamela Wampler Butler, RPT
• Janice Koontz Callender, RD
• Alicia Campbell, PA-C
• Garland Adam Campbell, MD
• Charles Capps, ED.D
• Donald C. Carmichael, M.D.
• Kiera Caron, OTR/L
• Chesney Blythe Carroll
• Lynn H Carroll, LPC

• Pediatrics Physician in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.