Individual provider Active NPI

William Joseph Campbell, M.D.

  • Plastic Surgery Physician
  • Savannah, GA
National Provider Identifier
1639305576
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
077235 Issued in GA
Practice address
5361 Reynolds St
Savannah, GA 31405-6014
Phone
(912) 355-8000
Fax
(912) 355-8403
NPI assigned
Jun 5, 2009
Last updated
Apr 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 077235 GA Primary
Surgery Physician 208600000X ME 120151 FL

Addresses

Primary practice location

5361 Reynolds St
Savannah, GA 31405-6014

Mailing address

5361 Reynolds St
Savannah, GA 31405-6014
Phone (912) 355-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511002401 GA Practitioner - Plastic and Reconstructive Surgery 6002059789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Georgia Institute for Plastic Surgery IncGroup PAC ID 0749194967, 8 clinicians

Practice addresses (Care Compare)

5361 Reynolds St
Savannah, GA 31405-6014
Phone (912) 355-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Melanoma (skin cancer) excision125
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
077235GAMDPlastic Surgery Physician
ME 120151FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Georgia Institute for Plastic Surgery Inc Plastic Surgery CurrentSince Jun 15, 2017 Accepting new patients

Locations

556 W Oglethorpe Hwy
Ste C
Hinesville, GA 31313
Phone (912) 408-5066

5361 Reynolds St
Savannah, GA 31405
Phone (912) 355-8000

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1639305576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056014",
            "telephone_number": "912-355-8000",
            "fax_number": "912-355-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056014",
            "telephone_number": "912-355-8000",
            "fax_number": "912-355-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "077235",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 120151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.