Individual provider Active NPI

Kevin S Campbell, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1497833834
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36275 Issued in TN
Practice address
200 Fort Sanders West Blvd Ste 304
Knoxville, TN 37922-3360
Phone
(865) 531-8848
Fax
(865) 693-1398
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36275 TN Primary

Addresses

Primary practice location

200 Fort Sanders West Blvd Ste 304
Knoxville, TN 37922-3360

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382
Phone (865) 584-4747

Other identifiers 1

IdentifierTypeStateIssuer
38743651MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000260 TN Practitioner - Family Practice 1052310083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

11719 Chapman Hwy 104
Seymour, TN 37865-5264
Phone (865) 377-3176

7211 Wellington Dr
Suite 201
Knoxville, TN 37919-5968
Phone (865) 584-5762

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36275TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System, Inc Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2017 Accepting new patients
University Health System Inc CurrentSince Aug 1, 2007 Accepting new patients
Summit Medical Group, PLLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
East Tennessee Medical Group, PC Family Medicine Past Accepting new patients
Summit Medical Group PLLC Family Medicine PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients
Summit Medical Group, PLLC Family Medicine Past Accepting new patients
Uhs Ventures PastSince Jul 24, 2022 Accepting new patients

Locations

200 Fort Sanders West Blvd
Ste 304
Knoxville, TN 37922
Phone (865) 531-8848

7211 Wellington Dr
Ste 201
Knoxville, TN 37919
Phone (865) 584-5762

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7503 S Northshore Dr
Knoxville, TN 37919
Phone (865) 531-1300

9625 Kroger Park Dr
Ste 500
Knoxville, TN 37922
Phone (865) 531-8100

11657 Chapman Hwy
Seymour, TN 37865
Phone (865) 577-4836

Interoperability endpoints

  • Direct secure messaging: kevin.campbell.1@20785.direct.athenahealth.com

Organizations & group practices 10

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

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1497833834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORT SANDERS WEST BLVD STE 304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223360",
            "telephone_number": "865-531-8848",
            "fax_number": "865-693-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KEVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "36275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38743651",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.