Terri Lisa Davis Campbell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004517 Issued in NC

Practice address

4307 Fayetteville Rd
Lumberton, NC 28358-2676

Phone

(910) 613-7441

Fax

(910) 226-7572

NPI assigned

Oct 6, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lumberton Care Clinic PLLCGroup PAC ID 8527454974, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25968/brand/1/csg/1/fhir/r4

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.

• Lumberton Care Clinic, PLLC

  • Family Nurse Practitioner
  • Lumberton, NC
  • NPI 1205597721

  Family, NC

  Medicare reassignment Care Compare group NPD Authorized official
• Lumberton Emergency Physicians

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1902049232
  NPD (past)
• Southeastern Regional Medical Center

  • Clinic/Center
  • Clarkton, NC
  • NPI 1033396155
  NPD (past)

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

• Southeastern Regional Medical Center

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1619202884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582676",
            "telephone_number": "910-613-7441",
            "fax_number": "910-226-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582676",
            "telephone_number": "910-613-7441",
            "fax_number": "910-226-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TERRI LISA",
        "middle_name": "DAVIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005090",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ross Caldwell
• Kimberly A Callahan, FNP
• Calvary Internal Medicine PC
• Rachel Christine Camden, M.S., D.O.
• Campbell Ear, Nose & Throat, PA
• Campbell'S Transportation LLC
• Connie Lee Canady, CNM
• Cape Fear Orthotics & Prosthetics, Inc.
• Cape Fear Orthotics & Prosthetics, Inc.
• Cape Fear Valley Health System Specialty Group, LLC

• All providers in Lumberton, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.