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Campbell Clinic PC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Johnson City, TN

NPI 1487549895 · NPPES record last updated Jun 9, 2025

Key facts

NPI
1487549895
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CAMPBELL CLINIC PC
Practice address
3 Professional Park Dr Ste 21
Johnson City, TN 37604-6529
Phone
(423) 844-6450
NPI assigned
Jun 9, 2025
Organization subpart
Yes
Parent organization (as reported)
CAMPBELL CLINIC PC

Authorized official

Name
Daniel Shumate
Title
Ceo
Phone
(901) 759-3100

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 229

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250626000624 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638082076 Practice locations: Johnson City, TN

National Provider Directory

Tax ID family
Campbell Clinic (25 organizations share this tax ID)
Part of
Campbell Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

3 Professional Park Dr Ste 21
Johnson City, TN 37604-6529

Mailing address

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

Other providers in Johnson City, TN

All providers in Johnson City, TN · Durable Medical Equipment & Medical Supplies in Tennessee

Sources for this page

Verify at the official NPI Registry.