Individual provider Active NPI

Kevin Dion Campbell, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1477933976
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-112004 Issued in AL
Practice address
2828 Highway 31 S Ste 107
Decatur, AL 35603-1538
Phone
(256) 351-8870
Fax
(256) 351-0599
NPI assigned
Jun 1, 2015
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-112004 AL Primary

Addresses

Primary practice location

2828 Highway 31 S Ste 107
Decatur, AL 35603-1538

Mailing address

2828 Highway 31 S Ste 107
Decatur, AL 35603-1538
Phone (256) 351-8870

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819008752 AL Practitioner - Nurse Practitioner 9537474580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Med-Surg Clinic, LLCGroup PAC ID 7618996620, 4 clinicians
P J M Reddy MDGroup PAC ID 3072838960, 3 clinicians

Practice addresses (Care Compare)

2828 Hwy 31 S
Decatur, AL 35603-1538
Phone (256) 353-2000

2828 Hwy 31 S
Suite 101
Decatur, AL 35603-1510
Phone (256) 309-5627

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P J M Reddy MD CurrentSince Jan 15, 2025 Accepting new patients
Kevin D Campbell CRNP PC CurrentSince Dec 1, 2021 Accepting new patients
Medical East of Decatur Inc Family CurrentSince Oct 26, 2017 Accepting new patients
Medical East of Decatur Inc Family CurrentSince Oct 26, 2017 Accepting new patients
Decatur Med-Surg Clinic, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

1813 Beltline Rd SW
Decatur, AL 35601
Phone (256) 353-3500

2828 Highway 31 S
Decatur, AL 35603
Phone (256) 340-1212

2828 Highway 31 S
Ste 101
Decatur, AL 35603
Phone (256) 309-5627

2828 Highway 31 S
Ste 107
Decatur, AL 35603
Phone (256) 351-8870

2941 Point Mallard Pkwy SE
Ste A
Decatur, AL 35603
Phone (256) 350-2588

2941 Point Mallard Pkwy SE
Ste N
Decatur, AL 35603
Phone (256) 432-2822

Organizations & group practices 5

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 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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1477933976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S STE 107",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-351-8870",
            "fax_number": "256-351-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S STE 107",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-351-8870",
            "fax_number": "256-351-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KEVIN",
        "middle_name": "DION",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-02-08",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-112004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.