Michael F. Campbell, M.S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4475 Issued in NC

Practice address

5900 Summit Ave Ste 103
Browns Summit, NC 27214-9859

Phone

(336) 217-5120

Fax

(336) 217-5127

NPI assigned

Dec 11, 2006

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Uncg Speech and Hearing Program

  • Hearing and Speech Clinic/Center
  • Browns Summit, NC
  • NPI 1386831998
  Authorized official Same address or phone
• University of North Carolina at Greensboro

  dba Speech and Hearing Center

  • Hearing and Speech Clinic/Center
  • Greensboro, NC
  • NPI 1821082405
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1336209170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196535",
            "telephone_number": "504-507-6435",
            "fax_number": "504-507-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SUMMIT AVE STE 103",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149859",
            "telephone_number": "336-217-5120",
            "fax_number": "336-217-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MICHAEL",
        "middle_name": "F.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Browns Summit, NC
• Providers in Browns Summit, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.