Active NPI
Courtney Campbell
- Nurse Practitioner
- Lawrenceburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21054
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21054 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Stop Medical, LLC | Current | Accepting new patients | |
| Tennessee CVS Pharmacy, L.L.C. | Past | 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.
-
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1053548487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
- 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.