Individual provider Active NPI

Jermaine Campbell, D.O.

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1407017387
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS13774 Issued in FL
Practice address
2701 N Course Dr
Apt 125
Pompano Beach, FL 33069-3030
Phone
(754) 264-6061
Fax
(844) 321-1486
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X OS13774 FL Primary

Addresses

Primary practice location

2701 N Course Dr
Apt 125
Pompano Beach, FL 33069-3030

Mailing address

12491 Baywind CT
Boca Raton, FL 33428-4704
Phone (754) 264-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001788 FL Practitioner - Internal Medicine 0840599551 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Springs Physician Services, LLCGroup PAC ID 7719268333, 36 clinicians

Practice addresses (Care Compare)

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

Hospital & facility affiliations

  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Oct 6, 2020 Accepting new patients
Iah of Florida, LLC CurrentSince Jun 13, 2016 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Oct 6, 2020 Accepting new patients
Coral Springs Physician Services, LLC CurrentSince Mar 2, 2017 Accepting new patients
Rmed LLC Internal Medicine CurrentSince Jun 13, 2016 Accepting new patients
Fort Lauderdale Physician Services, LLC CurrentSince Apr 19, 2017 Accepting new patients
Shawnna M Hampton DO PLLC Internal Medicine CurrentSince Sep 6, 2021 Accepting new patients
Rmed LLC Internal Medicine CurrentSince Jun 13, 2016 Accepting new patients

Locations

670 Glades Rd
Ste 110
Boca Raton, FL 33431
Phone (561) 289-9467

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

1776 N Pine Island Rd
Ste 308
Plantation, FL 33322
Phone (954) 376-3739

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Organizations & group practices 8

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 1

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1407017387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12491 BAYWIND CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284704",
            "telephone_number": "754-264-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N COURSE DR",
            "address_2": "APT 125",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693030",
            "telephone_number": "754-264-6061",
            "fax_number": "844-321-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JERMAINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS13774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.