Organization Active NPI

Dr. Michael a. Campbell

  • Clinic/Center
  • Hilton Head Island, SC
National Provider Identifier
1629276605
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR. MICHAEL A. CAMPBELL
Practice address
10 Hospital Center CMNS
Ste. 100
Hilton Head Island, SC 29926-2839
Phone
(843) 681-6682
Fax
(843) 681-9582
NPI assigned
Jul 11, 2007
Last updated
Jun 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Dr. Michael Alan Campbell, ODNPI 1306839881
Title
Owner
Phone
(843) 681-6682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

10 Hospital Center CMNS
Ste. 100
Hilton Head Island, SC 29926-2839

Mailing address

10 Hospital Center CMNS
Ste. 100
Hilton Head Island, SC 29926-2839
Phone (843) 681-6682

Other identifiers 2

IdentifierTypeStateIssuer
3063OtherSCMEDICARE GROUP NUMBER
410008055OtherSCRR MEDICARE

National Provider Directory

National Provider Directory

Locations

6 Promenade St
Unit 1001
Bluffton, SC 29910
Phone (843) 706-0607

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1629276605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL CENTER CMNS",
            "address_2": "STE. 100",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262839",
            "telephone_number": "843-681-6682",
            "fax_number": "843-681-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL CENTER CMNS",
            "address_2": "STE. 100",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262839",
            "telephone_number": "843-681-6682",
            "fax_number": "843-681-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL A. CAMPBELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-681-6682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3063",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410008055",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.