Individual provider Active NPI

Tonya Lynn Campbell, CRNA

  • Certified Registered Nurse Anesthetist
  • Roswell, GA
National Provider Identifier
1508853292
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
PENDING Issued in GA
Practice address
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone
(770) 751-2500
Fax
(770) 751-2609
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X PENDING GA Primary

Addresses

Primary practice location

3000 Hospital Blvd
Roswell, GA 30076-4915

Mailing address

PO Box 116171
Atlanta, GA 30368-6171
Phone (800) 919-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040415001088 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284629668 Reassigns benefits to 3 organizations
I20180427000774 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284629668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Anesthesia Group PSCGroup PAC ID 4082527890, 38 clinicians
Prodigy Office Anesthesia, LLCGroup PAC ID 8921450776, 9 clinicians

Practice addresses (Care Compare)

1140 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-1100

1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (866) 802-8686

1710 Cumberland Falls Hwy
Corbin, KY 40701-2727
Phone (606) 528-6700

9 Linville Rd
Paris, KY 40361-2129
Phone (859) 987-3600

Hospital & facility affiliations

  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
PENDINGGAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2009 Accepting new patients
Prodigy Office Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2025 Accepting new patients
TRH Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Definitive Medical Solutions, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Radiology Inc PastSince Aug 12, 2012 Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Aug 13, 2023 Accepting new patients
Jackson Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1710 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-6700

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1508853292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116171",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686171",
            "telephone_number": "800-919-1190",
            "fax_number": "706-737-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL BLVD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764915",
            "telephone_number": "770-751-2500",
            "fax_number": "770-751-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TONYA",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.