NPIMap

Individual provider Active NPI

Debra Lynn Campbell, PA-C

  • Physician Assistant
  • Mount Airy, NC
National Provider Identifier
1346592169
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001004291 Issued in NC
Practice address
709 West Independence Blvd.
Mount Airy, NC 27030
Phone
(336) 789-9041
NPI assigned
Oct 3, 2012
Last updated
Jul 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003998 VA
Physician Assistant 363A00000X 001004291 NC Primary

Addresses

Primary practice location

709 West Independence Blvd.
Mount Airy, NC 27030

Mailing address

709 W. Independence Blvd.
Mount Airy, NC 27030
Phone (336) 789-9041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002319 VA Practitioner - Physician Assistant 9830323708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Murray E Joiner Jr MD PCGroup PAC ID 4284637695, 17 clinicians
Pain Center of the Blue RidgeGroup PAC ID 4486876703, 7 clinicians

Practice addresses (Care Compare)

1945 Thomson Dr
Lynchburg, VA 24501-1025
Phone (434) 845-6664

2726 Electric Rd
Suite 203
Roanoke, VA 24018-3528
Phone (540) 772-4448

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.55 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001004291NCMDPhysician Assistant
0110003998VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Murray E Joiner Jr MD PC Physician Assistant CurrentSince Sep 17, 2018 Accepting new patients
Murray E Joiner Jr MD PC CurrentSince Sep 17, 2018 Accepting new patients
Pain Relief Centers PastSince Mar 12, 2017 Accepting new patients
Carolina Pain and Weight Loss, PA Past Accepting new patients

Locations

1945 Thomson Dr
Lynchburg, VA 24501
Phone (434) 845-6664

2726 Electric Rd
Ste 203
Roanoke, VA 24018
Phone (540) 772-4448

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1346592169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W. INDEPENDENCE BLVD.",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-789-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 WEST INDEPENDENCE BLVD.",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-789-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003998",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001004291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.