Johnny Eugene Campbell II

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4119 Issued in SC

Practice address

801 Musgrove St
Clinton, SC 29325-1752

Phone

(803) 271-5100

NPI assigned

Jan 17, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1437623931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SCHOFIELD RD",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290549729",
            "telephone_number": "786-365-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MUSGROVE ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293251752",
            "telephone_number": "803-271-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHNNY",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jean Byrd, M.ED.
• Byron a Brown MD LLC
• Jacquelyn Denise Calhoun
• Judy Allyene Calvert, RN
• Brenda T Campbell
• Jacob Harrison Cannon
• Louvenia Carlie
• Geoffrey Carlson, PA
• Carolina Christian Ministrties
• Carolina Counseling Associates of the Upstate

• All providers in Clinton, SC
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.