Individual provider Active NPI

Courtney Campbell

  • Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1588025910
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21054 Issued in TN
Practice address
326 N Locust Ave
Lawrenceburg, TN 38464-3516
Phone
(931) 762-9797
Fax
(931) 762-9798
NPI assigned
Mar 12, 2016
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21054 TN
Nurse Practitioner 363L00000X 21054 TN Primary

Addresses

Primary practice location

326 N Locust Ave
Lawrenceburg, TN 38464-3516

Mailing address

912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797

Other practice location 1

2893 Huntsville Hwy
Fayetteville, TN 37334-6681
Phone (931) 297-5028

Other practice location 2

202 Joe Ave
Hohenwald, TN 38462-2002
Phone (931) 796-9797

Other practice location 3

912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797 ext. 2010

Other names 1

  • Courtney Kimbrough Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161024002758 TN Practitioner - Nurse Practitioner 3274824693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Stop Medical LLCGroup PAC ID 1850439332, 22 clinicians

Practice addresses (Care Compare)

912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21054TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Stop Medical, LLC CurrentSince Apr 30, 2017 Accepting new patients
Tennessee CVS Pharmacy, L.L.C. PastSince Mar 19, 2023 Accepting new patients

Locations

202 Joe Ave
Hohenwald, TN 38462
Phone (931) 796-9797

326 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-0800

326 N Locust Ave
#B
Lawrenceburg, TN 38464
Phone (931) 762-9797

912 W College St
Pulaski, TN 38478
Phone (931) 424-9797

Organizations & group practices 2

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": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1588025910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783630",
            "telephone_number": "931-424-9797",
            "fax_number": "931-424-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2893 Huntsville Hwy",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373346681",
            "country_code": "US",
            "telephone_number": "931-297-5028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Joe Ave",
            "address_purpose": "LOCATION",
            "city": "Hohenwald",
            "state": "TN",
            "postal_code": "384622002",
            "country_code": "US",
            "telephone_number": "931-796-9797",
            "fax_number": "931-295-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 W College St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384783630",
            "country_code": "US",
            "telephone_number": "931-424-9797 x2010",
            "fax_number": "931-424-9788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21054",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KIMBROUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.