Individual provider Active NPI

Craig O'Neil Campbell, M.D.

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1508186867
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75057 Issued in TN
Practice address
620 E 11TH St
Chattanooga, TN 37403-3101
Phone
(404) 954-2924
Fax
(404) 974-9740
NPI assigned
Jun 9, 2010
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 75057 TN Primary
General Practice Physician 208D00000X 069773 GA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 069773 GA

Addresses

Primary practice location

620 E 11TH St
Chattanooga, TN 37403-3101

Mailing address

620 E 11TH St
Chattanooga, TN 37403-3101
Phone (404) 954-2924

Other practice location 1

10 3rd St
Jackson, GA 30233-1900
Phone (404) 974-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160913002769 GA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7719273929 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75057TNMDInternal Medicine Physician
069773GAMDHospice and Palliative Medicine (Internal Medicine) Physician

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1508186867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 11TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033101",
            "telephone_number": "404-954-2924",
            "fax_number": "404-974-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 11TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033101",
            "telephone_number": "404-954-2924",
            "fax_number": "404-974-9740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 3rd St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "GA",
            "postal_code": "302331900",
            "country_code": "US",
            "telephone_number": "404-974-9740",
            "fax_number": "404-974-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CRAIG",
        "middle_name": "O'NEIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "75057",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "069773",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "069773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.