Individual provider Active NPI

Thomas Johnstone Campen, MD

  • Emergency Medicine Physician
  • Waycross, GA
National Provider Identifier
1497729834
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
032147 Issued in GA
Practice address
410 Darling Ave
Waycross, GA 31501
Phone
(912) 287-2513
Fax
(912) 287-2532
NPI assigned
Feb 14, 2006
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 032147 GA Primary
Internal Medicine Physician 207R00000X 200100327 NC
Ophthalmology Physician 207W00000X 32147 GA

Addresses

Primary practice location

410 Darling Ave
Waycross, GA 31501

Mailing address

410 Darling Ave
Waycross, GA 31501-5246
Phone (912) 287-2513

Other identifiers 1

IdentifierTypeStateIssuer
000424718ZMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, NC, IL, AL, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040524000764 GA Practitioner - OphthalmologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 0547251944 Reassigns benefits to 13 organizations
I20090216000501 SC Practitioner - Emergency Medicine 0547251944 Reassigns benefits to 2 organizations
I20130107000089 NC Practitioner - Emergency MedicinePractitioner - Internal Medicine 0547251944 Reassigns benefits to 2 organizations
I20161121001042 IL Practitioner - Emergency Medicine 0547251944 Reassigns benefits to 1 organization
I20190619003197 AL Practitioner - HospitalistPractitioner - Emergency Medicine 0547251944 Reassigns benefits to 2 organizations
I20220813000355 TX Practitioner - Emergency Medicine 0547251944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Coffee County Hospitalist Physicians LLCGroup PAC ID 1153696117, 17 clinicians
Advanced Medical Resources of Wayne County, LLCGroup PAC ID 9638498140, 4 clinicians

Practice addresses (Care Compare)

1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 383-7826

5102 Paulsen St
BLDG 5
Savannah, GA 31405-4614
Phone (912) 355-7446

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 657-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Murphy Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Southland Cochran Emergency Medical Services, LLC Emergency Medicine CurrentSince Oct 10, 2019 Accepting new patients
Weiss Lake Hospitalists, LLC CurrentSince Jun 1, 2019 Accepting new patients
Advanced Medical Resources of Wayne County, LLC Internal Medicine CurrentSince May 31, 2023 Accepting new patients
Cooperative Healthcare Services Inc Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Georgia PC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Hampton Regional Medical Center CurrentSince Apr 24, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Aug 1, 2020 Accepting new patients
Cherokee County Physicians, LLC Emergency Medicine CurrentSince Feb 15, 2019 Accepting new patients
Hampton Regional Medical Center CurrentSince Apr 24, 2018 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Oct 19, 2016 Accepting new patients
Coffee County Hospitalist Physicians, LLC CurrentSince Apr 1, 2025 Accepting new patients
Southland Dodge Emergency Medical Services, LLC Emergency Medicine CurrentSince May 10, 2021 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Nov 15, 2011 Accepting new patients
Wayne Emergency Group LLC Emergency Medicine CurrentSince Mar 25, 2011 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Liberty Emergency Group LLC Emergency Medicine Past Accepting new patients
Coastal Carolina Medical Center, Inc Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Dodge Emergency Group LLC Emergency Medicine Past Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine Past Accepting new patients
Wills Memorial Emergency Medical Services, LLC Emergency Medicine Past Accepting new patients
Evans Emergency Group LLC Emergency Medicine Past Accepting new patients
Campen Dermatology, LLC PastSince Jun 1, 2003 Accepting new patients
Ohoopee River Emergency Physicians Emergency Medicine Past Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc Past Accepting new patients
McCabe Medical Group LLC Emergency Medicine PastSince Jul 1, 2012 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Coffee Regional Medical Center, Inc Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients
Hospital Authority of Wayne County, Georgia Past Accepting new patients
Dodge County Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations (25 of 35)

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

340 Hodgson Ct
Ste 4
Savannah, GA 31406
Phone (912) 429-0841

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: thomas.campen.1@13027.direct.athenahealth.com

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 4

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1497729834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DARLING AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015246",
            "telephone_number": "912-287-2513",
            "fax_number": "912-287-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DARLING AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-287-2513",
            "fax_number": "912-287-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPEN",
        "first_name": "THOMAS",
        "middle_name": "JOHNSTONE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "032147",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200100327",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "32147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000424718Z",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.