Individual provider Active NPI

Geralyn Mary Campi, M.D.

  • Internal Medicine Physician
  • Matthews, NC
National Provider Identifier
1497890891
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2009-00741 Issued in NC
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

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
185025MedicaidSC
NN2979I124OtherNCMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815001857 NC Practitioner - Internal Medicine 5496055527 Reassigns benefits to 2 organizations

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
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

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

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Mar 28, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Mar 28, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince May 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.