Active NPI
Jermaine Campbell, D.O.
- Internal Medicine Physician
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS13774
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
Practice addresses (Care Compare)
3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000
Hospital & facility affiliations
- Broward Health Coral Springs
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida Inc | Internal Medicine | Current | Accepting new patients |
| Iah of Florida, LLC | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Coral Springs Physician Services, LLC | Current | Accepting new patients | |
| Rmed LLC | Internal Medicine | Current | Accepting new patients |
| Fort Lauderdale Physician Services, LLC | Current | Accepting new patients | |
| Shawnna M Hampton DO PLLC | Internal Medicine | Current | Accepting new patients |
| Rmed LLC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
FL, Internal Medicine
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1750403036
FL, Internal Medicine
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.