Individual provider Active NPI

Zachary Campbell, AGPCNP-C

  • Primary Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1619690138
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
32405 Issued in TN
Practice address
442 Metroplex Dr Ste 200
Nashville, TN 37211-3112
Phone
(615) 499-7406
Fax
(833) 968-2944
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 32405 TN Primary

Addresses

Primary practice location

442 Metroplex Dr Ste 200
Nashville, TN 37211-3112

Mailing address

409 Blair LN
Lebanon, TN 37087-3158
Phone (615) 390-0926

Other identifiers 1

IdentifierTypeStateIssuer
32405OtherTNAPRN LICENSE NUMBER

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
I20221122000838 TN Practitioner - Nurse Practitioner 4688042716 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32405TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Cares, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Chattanooga Cares, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Nashville Cares Past Accepting new patients

Locations

1000 E 3rd St
Chattanooga, TN 37403
Phone (423) 265-2273

1000 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 265-2273

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1619690138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BLAIR LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873158",
            "telephone_number": "615-390-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 METROPLEX DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113112",
            "telephone_number": "615-499-7406",
            "fax_number": "833-968-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ZACHARY",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "32405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "32405",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.