Active NPI
Angela JP Campbell, MD
- Pediatric Infectious Diseases Physician
- Atlanta, GA
National Provider Identifier
1386727378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 70353
- Practice address
- 1600 Clifton Rd NE
Mailstop A32
Atlanta, GA 30329-4018 - Phone
- (404) 639-3376
- Fax
- (404) 639-3866
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | MD00040206 | WA | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 70353 | GA | Primary |
Addresses
Primary practice location
1600 Clifton Rd NE
Mailstop A32
Atlanta, GA 30329-4018
Mailing address
1600 Clifton Rd NE
Mailstop A32
Atlanta, GA 30329-4018
Phone (404) 639-3376
Other names 1
- Angela J Peck
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70353 | GA | MD | Pediatric Infectious Diseases Physician |
| MD00040206 | WA | MD | Pediatric Infectious Diseases Physician |
Interoperability endpoints
- acampbell65564@choa.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1386727378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CLIFTON RD NE",
"address_2": "MAILSTOP A32",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294018",
"telephone_number": "404-639-3376",
"fax_number": "404-639-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CLIFTON RD NE",
"address_2": "MAILSTOP A32",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294018",
"telephone_number": "404-639-3376",
"fax_number": "404-639-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ANGELA",
"middle_name": "JP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "WA",
"license": "MD00040206",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "GA",
"license": "70353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "PECK",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.