Campbell Cunningham Taylor PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MD016011 Issued in TN

Legal business name

CAMPBELL CUNNINGHAM TAYLOR PC

Practice address

628 Smithview Dr
Maryville, TN 37803-6100

Phone

(865) 984-7012

Fax

(865) 981-4401

NPI assigned

Oct 29, 2009

Last updated

Jun 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda M Garrison, BILLING DEPT

Title

Credentials Coordinator

Phone

(865) 584-2127

Specialties & licenses 7

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Campbell Cunningham Taylor PC

  • Durable Medical Equipment & Medical Supplies
  • Sevierville, TN
  • NPI 1356678882

  0244216562

  Same PAC ID
• Campbell Cunningham Taylor PC

  • Optometrist
  • Knoxville, TN
  • NPI 1407850944

  0244216562

  Same PAC ID
• Campbell Cunningham Taylor PC

  dba Campbell, Cunningham, & Taylor Optical Dispensary

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1902008162

  0244216562

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Campbell Cunningham Tayloe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Campbell Cunningham & Taylor, PC

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1427507375
  NPD tax ID
• Campbell Cunningham & Taylor, PC

  dba Andes Optical

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1619426566
  NPD tax ID
• Campbell Cunningham Taylor PC

  • Durable Medical Equipment & Medical Supplies
  • Sevierville, TN
  • NPI 1356678882
  NPD tax ID
• Campbell Cunningham Taylor PC

  dba Campbell, Cunningham, & Taylor Optical Dispensary

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1902008162
  NPD tax ID

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1639405483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-984-7012",
            "fax_number": "865-981-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-984-7012",
            "fax_number": "865-981-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CUNNINGHAM TAYLOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "865-584-2127",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BILLING DEPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD021400",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD0034217",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD0008625",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD029986",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD001240",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "OD002250",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD016011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3371152",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "645010002",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3371152",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara B Caldwell, CRNA
• Steven L Caldwell
• Allison Catherine Calek
• Richard M Callis, PHARMD.
• Donna J Calvert, NP
• Katherine Campbell
• Lisa Campbell
• Lisa D Campbell, RN
• Michael Lyle Campbell, M.D.
• Tabatha Campbell, LCSW

• Durable Medical Equipment & Medical Supplies in Maryville, TN
• Providers in Maryville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.