Individual provider Active NPI

Gary L Campbell II, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, TX
National Provider Identifier
1639378532
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP119446 Issued in TX
Practice address
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone
(903) 541-4600
Fax
(903) 541-0638
NPI assigned
Jul 12, 2007
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 212903 GA
Certified Registered Nurse Anesthetist 367500000X AP119446 TX Primary

Addresses

Primary practice location

2026 S Jackson St
Jacksonville, TX 75766-5822

Mailing address

243 Maple Creek Dr
Newnan, GA 30263-7047
Phone (321) 287-3048

Other practice location 1

243 Maple Creek Dr
Newnan, GA 30263-7047
Phone (321) 287-3048

Other identifiers 2

IdentifierTypeStateIssuer
308547300MedicaidFL
G4333OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY, AL, GA, NM5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20120517000105 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466546411 Reassigns benefits to 1 organization
I20150721001127 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466546411 Reassigns benefits to 1 organization
I20160223001245 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466546411 Reassigns benefits to 1 organization
I20160223002037 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466546411 Reassigns benefits to 11 organizations
I20251121000497 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466546411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Georgia - TCS, PCGroup PAC ID 3971024910, 112 clinicians
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

1265 Hwy 54 W
Suite 103
Fayetteville, GA 30214
Phone (404) 351-1745

4401 River Chase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
212903GAMDCertified Registered Nurse Anesthetist
AP119446TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Georgia - TCS, PC CurrentSince Apr 8, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2023 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Oct 1, 2016 Accepting new patients
Riverton Physician Practices, LLC CurrentSince Jun 1, 2015 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Oct 1, 2025 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 11, 2017 Accepting new patients
Everest Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 9, 2023 Accepting new patients
Riverton Physician Practices LLC CurrentSince Jun 1, 2015 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Sep 15, 2025 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jul 1, 2022 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2012 Accepting new patients
Eastside Endoscopy Center LLC PastSince Mar 21, 2022 Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Digestive Healthcare of Ga, P.C. PastSince Sep 1, 2017 Accepting new patients
Anesthesia Unlimited Inc PastSince Dec 6, 2022 Accepting new patients

Locations (25 of 27)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1265 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (678) 216-0771

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (678) 817-6550

1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

62742 Collections Ctr Dr
Chicago, IL 60693

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1639378532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MAPLE CREEK DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302637047",
            "telephone_number": "321-287-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 S JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757665822",
            "telephone_number": "903-541-4600",
            "fax_number": "903-541-0638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Maple Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302637047",
            "country_code": "US",
            "telephone_number": "321-287-3048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GARY",
        "middle_name": "L",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "212903",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP119446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308547300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G4333",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.