Candace Denise Campbell, RDN
Individual provider Active NPI Registered Dietitian · Clemmons, NC
NPI 1649907296 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1649907296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- L006959 (NC)
- Practice address
- 6371 Jessie LN
Clemmons, NC 27012-9887 - Phone
- (336) 740-9060
- Fax
- (336) 740-9659
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NH-CL Clinics LLC
Practice addresses (Care Compare)
6371 Jessie LN
Clemmons, NC 27012-9887
Phone (336) 740-9060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220928001021 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 2567848534 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truebio Innovative Health & Wellness | Current |
Accepting new patients | |
| NH-CL Clinics, LLC | Current |
Accepting new patients | |
| Neurosurgical Associates of the | Current |
Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060
500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115
2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811
150 Charlois Blvd
Ste 100
Winston Salem, NC 27103
Phone (336) 718-7470
Interoperability endpoints
- ccampbell1645905@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L006959 | NC | Yes |
Addresses
Primary practice location
6371 Jessie LN
Clemmons, NC 27012-9887
Mailing address
PO Box 604050
Charlotte, NC 28260-4050
Other practice location 1
6045 Holder Rd
Clemmons, NC 27012-8315
Phone (910) 690-5934
Other providers in Clemmons, NC
- Bypeterson Properties, LLC
- Xiuwei Cai
- Larry Jason Calloway
- Calming Corner Counseling
- Camel City Chiropractic and Injury
- Thane Robert Campbell
- Manuel Alejandro Cano
- Carenet, Inc.
- Carillon Assisted Living of Clemmons, LLC
- Carolina Hearing Doctors, Inc.
All providers in Clemmons, NC · Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.