NPIMap

Campbell Clinic PC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Germantown, TN

NPI 1669366290 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1669366290
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
CAMPBELL CLINIC PC
Practice address
7887 Wolf River Blvd
Germantown, TN 38138-1718
Phone
(901) 759-3100
NPI assigned
Jun 6, 2025
Organization subpart
Yes
Parent organization (as reported)
CAMPBELL CLINIC PC

Authorized official

Name
Daniel Shumate
Title
Ceo
Phone
(901) 759-3100

Other NPIs with the same Medicare PAC ID 22

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

Corporate family (same tax ID) 24

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

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 229

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2277395Campbell Clinic-Wolf River
7887 Wolf River, Germantown, TN 38138		Certificate of waiverFeb 26, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250714000560 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638082076 Practice locations: Germantown, TN

National Provider Directory

Tax ID family
Campbell Clinic (25 organizations share this tax ID)
Part of
Campbell Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

7887 Wolf River Blvd
Germantown, TN 38138-1718

Mailing address

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

Other providers in Germantown, TN

All providers in Germantown, TN · Durable Medical Equipment & Medical Supplies in Tennessee

Sources for this page

Verify at the official NPI Registry.