Juan Campos, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00021307 Issued in AL

Practice address

110 S Anniston Ave
Sylacauga, AL 35150-2961

Phone

(256) 207-0200

Fax

(256) 207-0201

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

General Surgery

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Sylacauga Health Care AuthorityGroup PAC ID 5294710398, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

58.1

Promoting interoperability

96

Improvement activities

40

Cost

72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juan.campos@cvmc.eclinicaldirectplus.com

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.

• The Sylacauga Health Care Authority

  • Family Medicine Physician
  • Sylacauga, AL
  • NPI 1124235320

  Surgery

  Medicare reassignment Care Compare group NPD
• The Sylacauga Health Care Authority

  • General Acute Care Hospital
  • Sylacauga, AL
  • NPI 1386853125
  NPD
• The Sylacauga Health Care Authority

  • Community/Retail Pharmacy
  • Sylacauga, AL
  • NPI 1689380800
  NPD
• Sylacauga Health Care Authority Inc

  • Rural Acute Care Hospital
  • Sylacauga, AL
  • NPI 1972527265
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sylacauga Health Care Authority Inc

  • Rural Acute Care Hospital
  • Sylacauga, AL
  • NPI 1972527265
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1417042136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S ANNISTON AVE",
            "address_2": "STE. 110",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502961",
            "telephone_number": "256-401-4070",
            "fax_number": "256-401-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ANNISTON AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502961",
            "telephone_number": "256-207-0200",
            "fax_number": "256-207-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00021307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051523150",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southworth F Bryan Jr., LPC
• Verick Daniel Burchfield, NP
• Jennifer Burnett, FNP-C
• Isabella Caldwell
• Debra K Campbell
• Bradley W. Cantley
• Stacy Leeann Cantley, O.D.
• Cardiovascular Associates of North Alabama, P.C.
• George R Carlton Jr., DISPENSING OPTICIAN
• Audrie Caroline Carmack Aaron, LICSW

• Surgery Physician in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.

Verify at the official NPI Registry.