Active NPI
Christopher Vincent Campellone, PROVIDER, HIS
- Hearing Instrument Specialist
- Gainesville, GA
National Provider Identifier
1316358757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS000859
- Practice address
- 3000 McEver Road Ext
Gainesville, GA 30504-5539 - Phone
- (770) 912-0558
- NPI assigned
- May 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HADS000859 | GA | Primary |
Addresses
Primary practice location
3000 McEver Road Ext
Gainesville, GA 30504-5539
Mailing address
3000 McEver Rd
Gainesville, GA 30504-5539
Phone (770) 912-0558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316358757 | Medicaid | GA |
Other names 1
- Mr. Chris Campellone
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cpca@gotohearing.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HADS000859 | GA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Hearing Solutions, Inc | Current | Accepting new patients | |
| CVC Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
3000 McEver Road Ext
Gainesville, GA 30504
Phone (678) 696-5470
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Gainesville, GA
- NPI 1619551884
-
- Hearing Instrument Specialist
- Lawrenceville, GA
- NPI 1689085136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1316358757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MCEVER RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045539",
"telephone_number": "770-912-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MCEVER ROAD EXT",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305045539",
"telephone_number": "770-912-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPELLONE",
"first_name": "CHRISTOPHER",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "PROVIDER, HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS000859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316358757",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cpca@gotohearing.com",
"affiliation": "N",
"endpointDescription": "Physician Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "3000 McEver Rd",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305045539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "CAMPELLONE",
"prefix": "MR.",
"credential": "HIS, HAD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.