NPIMap

Campbell Clinic PC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Southaven, MS

NPI 1386829307 · NPPES record last updated Jun 10, 2025

Key facts

NPI
1386829307
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CAMPBELL CLINIC PC
Practice address
7545 Airways Blvd
Southaven, MS 38671-5806
Phone
(901) 759-3100
NPI assigned
Jan 9, 2008
Organization subpart
Yes
Parent organization (as reported)
CAMPBELL CLINIC PC

Authorized official

Name
Daniel Shumate
Title
Ceo
Phone
(901) 759-3100

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 229

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

View all 229

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2050942Campbell Clinic - Southaven
7545 Airways Boulevard, Southaven, MS 38671		Certificate of waiverDec 9, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250714000961 MS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638082076 Practice locations: Southaven, MS

National Provider Directory

Part of
Campbell Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

7545 Airways Blvd
Southaven, MS 38671-5806

Mailing address

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

Other providers in Southaven, MS

All providers in Southaven, MS · Durable Medical Equipment & Medical Supplies in Mississippi

Sources for this page

Verify at the official NPI Registry.