NPIMap

Individual provider Active NPI

Otis Campbell Jr., M.D.

  • Specialist
  • Nashville, TN
National Provider Identifier
1467510693
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD018561 Issued in TN
Practice address
3109 John a Merritt Blvd
Nashville, TN 37209-1509
Phone
(615) 320-0338
Fax
(615) 320-0668
NPI assigned
Dec 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD018561 TN Primary

Addresses

Primary practice location

3109 John a Merritt Blvd
Nashville, TN 37209-1509

Mailing address

PO Box 280956
Nashville, TN 37228-0956
Phone (615) 327-0338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510000747 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 2668368366 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Meharry Medical College School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Practice addresses (Care Compare)

315 Oak St
Livingston, TN 38570-1728
Phone (931) 823-5611

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD018561TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Sep 1, 2024 Accepting new patients
Southeastern Physician Services PC CurrentSince May 1, 2021 Accepting new patients
Scott County Community Hospital, Inc. CurrentSince Mar 8, 2018 Accepting new patients
Concord Medical Group of Kentucky PLLC CurrentSince Mar 1, 2025 Accepting new patients
South Central Physicians PLLC CurrentSince Sep 1, 2024 Accepting new patients
Hospital Medicine Services of Tennessee PC CurrentSince May 1, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 1, 2024 Accepting new patients
Baptist Memorial Hospital- Union City Inc Past Accepting new patients
Livingston Regional Hospital LLC Past Accepting new patients
J. Blackwell & Associates, Inc. Specialist Past Accepting new patients
Apogee Medical Group, Tennessee, P.C. PastSince Oct 8, 2023 Accepting new patients

Locations

135 E Swan St
Centerville, TN 37033
Phone (931) 729-3513

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

451 Highway 13 S
Waverly, TN 37185
Phone (931) 296-0211

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467510693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280956",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372280956",
            "telephone_number": "615-327-0338",
            "fax_number": "615-320-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 JOHN A MERRITT BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091509",
            "telephone_number": "615-320-0338",
            "fax_number": "615-320-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "OTIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD018561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.