John Campbell, D.O.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

DO-801 Issued in AL

Practice address

805 E Lee St Ste C
Enterprise Clinic, LLC/Dba Enterprise Express Care
Enterprise, AL 36330-2477

Phone

(334) 348-8818

NPI assigned

Nov 7, 2005

Last updated

Apr 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Enterprise Clinic LLC

  • Family Medicine Physician
  • Enterprise, AL
  • NPI 1639491616
  Medicare reassignment NPD
• Enterprise Urgent Care

  dba Ivy Creek Family Care of Enterprise

  • Urgent Care Clinic/Center
  • Enterprise, AL
  • NPI 1285180729
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)
• United Florala, Inc

  dba Florala Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Florala, AL
  • NPI 1477835825
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1669453767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E LEE ST STE C",
            "address_2": "ENTERPRISE CLINIC, LLC/DBA ENTERPRISE EXPRESS CARE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302477",
            "telephone_number": "334-348-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E LEE ST STE C",
            "address_2": "ENTERPRISE CLINIC, LLC/DBA ENTERPRISE EXPRESS CARE",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302477",
            "telephone_number": "334-348-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "AL",
            "license": "DO-801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Burkett, RPH
• Karis Antonia Burks
• By His Grace Primary Care, LLC
• Scot C Callahan, MD
• Shelley Nicole Cammarota, FNP-C
• George Robert Cannon Jr.
• Cardinal Dental LLC
• Roxanne Carilla
• Amber Carpenter
• Emily Carr, RBT

• Aerospace Medicine Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Aerospace Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.