Individual provider Active NPI

Tabitha Campbell, M.D.

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1386836096
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME107086 Issued in FL
Practice address
2 Columbia Dr
J402
Tampa, FL 33606-3508
Phone
(813) 844-7412
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME107086 FL Primary

Addresses

Primary practice location

2 Columbia Dr
J402
Tampa, FL 33606-3508

Mailing address

2 Columbia Dr
J402
Tampa, FL 33606-3508
Phone (813) 844-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, KY, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100623000960 FL Practitioner - Emergency Medicine 4688705353 Reassigns benefits to 4 organizations
I20171012002928 TN Practitioner - Emergency Medicine 4688705353 Reassigns benefits to 4 organizations
I20210422003119 KY Practitioner - Emergency Medicine 4688705353 Reassigns benefits to 2 organizations
I20210723000225 VA Practitioner - Emergency Medicine 4688705353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 544-9000

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

9400 Rhea County Hwy
Dayton, TN 37321-7922
Phone (423) 775-1121

Hospital & facility affiliations

  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107086FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Jul 18, 2019 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Apr 6, 2021 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Jul 1, 2020 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2 Columbia Dr
#J402
Tampa, FL 33606

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

436 Central Ave W
Jamestown, TN 38556
Phone (931) 752-5762

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1386836096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "address_2": "J402",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063508",
            "telephone_number": "813-844-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "address_2": "J402",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063508",
            "telephone_number": "813-844-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TABITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME107086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.