Individual provider Active NPI

John N Campbell, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Kentwood, MI
National Provider Identifier
1417901232
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
4301034105 Issued in MI
Practice address
1676 Viewpond Dr SE
Suite 100a
Kentwood, MI 49508-4994
Phone
(616) 455-9450
Fax
(616) 455-5221
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 034105 MI
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X 4301034105 MI Primary

Addresses

Primary practice location

1676 Viewpond Dr SE
Suite 100a
Kentwood, MI 49508-4994

Mailing address

1676 Viewpond Dr SE Ste 100a
Kentwood, MI 49508-4994
Phone (616) 455-9450

Other identifiers 3

IdentifierTypeStateIssuer
1598853608OtherGROUP NPI
382161547OtherMITAX ID
1076881MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040615000574 MI Practitioner - Internal Medicine 5395729651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John N Campbell MD PCGroup PAC ID 9335155316, 6 clinicians

Practice addresses (Care Compare)

1676 Viewpond Dr SE
Suite 100a
Kentwood, MI 49508-4994

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034105MIMDInternal Medicine Physician
4301034105MIMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alcohol and Chemical Abuse Consultants Inc Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
John N Campbell MD PC Internal Medicine CurrentSince Nov 1, 2005 Accepting new patients
Alcohol and Chemical Abuse Consultants Inc Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
John N Campbell MD PC Multi-Specialty CurrentSince Jan 1, 2006 Accepting new patients
Arbor Circle Corporation Multi-Specialty CurrentSince Feb 14, 2011 Accepting new patients
John N Campbell MD PC PastSince Jan 1, 1990 Accepting new patients
West Michigan Rehabilitation Center Inc Multi-Specialty Past Accepting new patients
Project Rehab Multi-Specialty Past Accepting new patients

Locations

201 Linden St
Big Rapids, MI 49307
Phone (231) 629-8131

3949 Sparks Dr SE
Ste 103
Grand Rapids, MI 49546
Phone (616) 957-5850

3940 Peninsular Dr SE
Ste 240
Grand Rapids, MI 49546
Phone (616) 957-5850

1115 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 451-3001

1101 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 456-7775

811 E Kent Rd
Greenville, MI 48838
Phone (616) 225-0202

1676 Viewpond Dr SE
Ste 100A
Kentwood, MI 49508
Phone (616) 455-9450

2002 44th St SE
Kentwood, MI 49508
Phone (616) 248-3545

1676 Viewpond Dr SE
Kentwood, MI 49508
Phone (616) 249-3545

1190 E Apple Ave
Muskegon, MI 49442
Phone (231) 737-9840

Interoperability endpoints

  • Direct secure messaging: jcampbell1272@epic00.corewelldirect.org

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 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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1417901232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 VIEWPOND DR SE STE 100A",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084994",
            "telephone_number": "616-455-9450",
            "fax_number": "616-455-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 VIEWPOND DR SE",
            "address_2": "SUITE 100A",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084994",
            "telephone_number": "616-455-9450",
            "fax_number": "616-455-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "034105",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301034105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598853608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382161547",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1076881",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.