Individual provider Active NPI

Tommy L Campbell, INSURANCE AGENT

  • Supports Brokerage Agency
  • Franklin, TN
National Provider Identifier
1508291733
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
773488 Issued in TN
Practice address
109 Holiday CT Ste D7
Franklin, TN 37067-1311
Phone
(615) 595-7632
Fax
(615) 595-7624
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X 773488 TN Primary

Addresses

Primary practice location

109 Holiday CT Ste D7
Franklin, TN 37067-1311

Mailing address

109 Holiday CT Ste D7
Franklin, TN 37067-1311
Phone (615) 595-7632

Other identifiers 1

IdentifierTypeStateIssuer
261342111OtherTNINSURANCE AGENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
773488TNMDSupports Brokerage Agency

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1508291733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HOLIDAY CT STE D7",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671311",
            "telephone_number": "615-595-7632",
            "fax_number": "615-595-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOLIDAY CT STE D7",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671311",
            "telephone_number": "615-595-7632",
            "fax_number": "615-595-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TOMMY",
        "middle_name": "L",
        "credential": "INSURANCE AGENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "TN",
            "license": "773488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE AGENT",
            "identifier": "261342111",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.