Ambrose Campbell, MD
Individual provider Active NPI Emergency Medicine Physician · Pascagoula, MS
NPI 1669903969 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1669903969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- U9717 (TX)
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-5154
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Saint Louis University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrative Emergency Services Physician Group-Houston PLLC
Highland Emergency Group, LLC
City Hospital Physician Group, Inc.
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
- Parkview Regional Hospital
- Christus Shreveport-Bossier Health System
- White Rock Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.66 of 100
- Quality
- 26.46
- Improvement activities
- 40
- Cost
- 80.85
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 69.06
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 83.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Improvement activities
- 40
- Cost
- 73.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MS, LA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27682 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountains of Richmond, LLC | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| City Hospital Physician Group Inc | Emergency Medicine | Current |
Accepting new patients |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current |
Accepting new patients |
| Monroe Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current |
Accepting new patients |
| Emergency Room Group LTD | Emergency Medicine | Current |
Accepting new patients |
| Keystone Medical Services of Ferriday, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current |
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
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
3500 Gaston Ave
Dallas, TX 75246
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
7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 27682 | MS | |
| Emergency Medicine Physician | 207P00000X | U9717 | TX | Yes |
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
Other providers in Pascagoula, MS
- Martin Bydalek
- Marianne Cabrera-Arroyo
- Victor Calcote
- Venus Jeanette Callahan
- Cynthia Jean Camburn
- Katelin Caraway
- Nicholas Julius Carbajal
- Susan M. Carbajal
- Cardiovascular & Thoracic Surgery
- Cardiovascular Health Center PLLC
All providers in Pascagoula, MS · Emergency Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 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.
- Order and Referring (CMS).
- 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.