Katherine L Campbell, CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

7591 Mountain Breeze
Douglasville, GA 30134-3272

Phone

(404) 273-2093

NPI assigned

Jan 10, 2012

Last updated

May 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1528338357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 MOUNTAIN BREEZE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343272",
            "telephone_number": "404-273-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 MOUNTAIN BREEZE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343272",
            "telephone_number": "404-273-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina K Callaway, LCSW
• Tapaynga Alise Calloway
• Shenelle Camacho, RBT
• Heather Robinson Camp, D.C.
• Cori Campbell, BCBA
• Jennifer Canada McKnight, DMD
• Chris Cancino
• Brett H Cannon, MD
• Cassandra Lichkay Cannon, DMD
• Capri Medical Center

• Surgical Assistant in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.