Active NPI
Craig O'Neil Campbell, M.D.
- Internal Medicine Physician
- Chattanooga, TN
National Provider Identifier
1508186867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 75057
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75057 | TN | MD | Internal Medicine Physician |
| 069773 | GA | MD | Hospice 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.