Individual provider Active NPI

Tameka Campbell, CPC

  • Health Educator
  • Stone Mountain, GA
National Provider Identifier
1649835265
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
655 Village Square Dr
Stone Mountain, GA 30083-3300
Phone
(678) 704-7553
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Specialist/Technologist 246Y00000X FL
Health Information Specialist/Technologist 246Y00000X GA
Counselor 101Y00000X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X GA
Multi-Specialty Clinic/Center 261QM1300X GA
Health Educator 174H00000X GA Primary

Addresses

Primary practice location

655 Village Square Dr
Stone Mountain, GA 30083-3300

Mailing address

PO Box 491232
Lawrenceville, GA 30049-0021
Phone (770) 904-9173

Other practice location 1

79 Dogwood Ferry Ct
Lawrenceville, GA 30046-9328
Phone (678) 895-4117

Other identifiers 2

IdentifierTypeStateIssuer
321648OtherGADOCTORATE OF DIVINITY
831099232OtherGABILLING COMPANY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Institute Contractor CurrentSince Mar 1, 2021 Accepting new patients
Empire International Care Center CurrentSince Mar 12, 2024 Accepting new patients
Grace Medical Entreprises Counselor CurrentSince Aug 1, 2020 Accepting new patients
Tameka Campbell Ministries Pastoral PastSince Sep 28, 2025 Accepting new patients

Locations

3505 Skyland Dr
Loganville, GA 30052
Phone (470) 222-5694

1305 Pennsylvania Ave
McDonough, GA 30253
Phone (678) 590-1170

655 Village Square Dr
Stone Mountain, GA 30083
Phone (470) 881-2285

Organizations & group practices 4

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1649835265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491232",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490021",
            "telephone_number": "770-904-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 VILLAGE SQUARE DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833300",
            "telephone_number": "678-704-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Dogwood Ferry Ct",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300469328",
            "country_code": "US",
            "telephone_number": "678-895-4117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TAMEKA",
        "name_prefix": "Dr.",
        "credential": "CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORATE OF DIVINITY",
            "identifier": "321648",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING COMPANY",
            "identifier": "831099232",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.