Active NPI
Geralyn Mary Campi, M.D.
- Internal Medicine Physician
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2009-00741
- Practice address
- 2030 Windsor Run LN
Matthews, NC 28105 - Phone
- (704) 443-6250
- Fax
- (704) 443-6279
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2009-00741 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 18502 | SC |
Addresses
Primary practice location
2030 Windsor Run LN
Matthews, NC 28105
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (704) 443-6250
Other practice location 1
704 Gold Hill Rd
Suite 115
Fort Mill, SC 29715-8906
Phone (803) 802-5181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185025 | Medicaid | SC | |
| NN2979I124 | Other | NC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4525 Cameron Valley Pkwy
Suite 1600
Charlotte, NC 28211-4373
Phone (704) 512-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients |
Locations
4525 Cameron Valley Pkwy
Ste 1600
Charlotte, NC 28211
Phone (704) 512-3800
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
4614 Country Club Rd
Winston Salem, NC 27104
Phone (336) 716-3787
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
704 Gold Hill Rd
Ste 115
Fort Mill, SC 29715
Phone (803) 802-5181
Interoperability endpoints
- gcampislota2955835@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1205848520
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1497890891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "704-443-6250",
"fax_number": "704-443-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 WINDSOR RUN LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "28105",
"telephone_number": "704-443-6250",
"fax_number": "704-443-6279"
}
],
"practiceLocations": [
{
"address_1": "704 Gold Hill Rd",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297158906",
"country_code": "US",
"telephone_number": "803-802-5181",
"fax_number": "803-802-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPI",
"first_name": "GERALYN",
"middle_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2009-00741",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "18502",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185025",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NN2979I124",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.