Demeka Campbell-MD

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DEMEKA CAMPBELL-MD

Practice address

1309 Stovall LN
Mt Juliet, TN 37122-4955

Phone

(612) 964-0939

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Demeka Yvette Campbell, MDNPI 1780715342

Title

Ceo

Phone

(612) 964-0939

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demeka Yvette Campbell, MD

  • Internal Medicine Physician
  • Hermitage, TN
  • NPI 1780715342
  NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1326714619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 STOVALL LN",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224955",
            "telephone_number": "612-964-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 STOVALL LN",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224955",
            "telephone_number": "612-964-0939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9260 Carnes Estates Dr",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302366275",
            "country_code": "US",
            "telephone_number": "612-964-0939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEMEKA CAMPBELL-MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DEMEKA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-964-0939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Demekacampbellmd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1309 Stovall Ln",
            "city": "MT Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371224955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Christopher Ryan Dennis
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• Health Service Clinic/Center in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.