Individual provider Active NPI

Ambrose Campbell, MD

  • Emergency Medicine Physician
  • Pascagoula, MS
National Provider Identifier
1669903969
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U9717 Issued in TX
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5154
NPI assigned
Mar 27, 2017
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27682 MS
Emergency Medicine Physician 207P00000X U9717 TX Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

3609 Reeves LN
Ocean Springs, MS 39564-1208
Phone (314) 683-6336

Other practice location 1

1501 Kings Hwy
Emergency Medicine
Shreveport, LA 71103-4228
Phone (318) 626-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200721003758 MS Practitioner - Emergency Medicine 0941573927 Reassigns benefits to 1 organization
I20240312000928 LA Practitioner - Emergency Medicine 0941573927 Reassigns benefits to 4 organizations
I20240919002695 TX Practitioner - Emergency Medicine 0941573927 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Saint Louis University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians
City Hospital Physician Group, Inc.Group PAC ID 5193156214, 23 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (469) 420-5527

2531 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 681-7000

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (346) 474-6474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.66 of 100Reported as group
Quality
26.46
Improvement activities
40
Cost
80.85

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
69.06
Promoting interoperability
81
Improvement activities
40
Cost
83.08

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Improvement activities
40
Cost
73.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Emergency Room Group LTD Emergency Medicine CurrentSince Jul 20, 2020 Accepting new patients
Keystone Medical Services of Ferriday, Inc. Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Fountains of Richmond, LLC CurrentSince Oct 2, 2024 Accepting new patients
Monroe Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
City Hospital Physician Group Inc Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients

Locations (25 of 34)

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080

4019 Interstate 45 N
Conroe, TX 77304
Phone (936) 856-1100

3500 Gaston Ave
Dallas, TX 75246

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-0950

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

400 W Lyndon B Johnson Fwy
Ste 101B
Irving, TX 75063
Phone (972) 868-4000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4500 E Sam Houston Pkwy S
Ste 235
Pasadena, TX 77505

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1669903969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 REEVES LN",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395641208",
            "telephone_number": "314-683-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-626-1034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMBROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "27682",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U9717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.