Hailey Campbell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9112247 Issued in FL

Practice address

1200 S Main St Ste 200
Belle Glade, FL 33430-7808

Phone

(561) 996-2024

NPI assigned

Jun 20, 2019

Last updated

Mar 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeside Medical Center Hospital, Belle Glade, FL, CCN 100130

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment Care Compare group

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

• District Hospital Holdings Inc

  dba Lakeside Medical Center

  • Rural Acute Care Hospital
  • Belle Glade, FL
  • NPI 1801885413
  Care Compare affiliation

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1609436625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S MAIN ST STE 200",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334307808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S MAIN ST STE 200",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334307808",
            "telephone_number": "561-996-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HAILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hailey.campbell.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1200 S Main St Ste 200",
            "city": "Belle Glade",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334307808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Bryan
• Shayun Bryant, CD (BEAM)
• Jessie Pearlene Bullard
• Anthony John Bullen, PT
• Allison Butler, RPH, MHS
• Cardio Pulmonary Resources, Inc.
• Caring Hearts Family Medical Centers
• Michael Frank Cascio, MD
• Jacklyn Hargraves Catasus, PHARMD
• Center for Bone & Joint Surgery of the Palm Beaches, P.a.

• Physician Assistant in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.