Individual provider Active NPI

Brianna Campbell, N.P.

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1679962765
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19565 Issued in TN
Practice address
6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2588
Phone
(901) 821-8300
Fax
(901) 259-9793
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19565 TN Primary

Addresses

Primary practice location

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2588

Mailing address

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2588
Phone (901) 821-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150226001190 TN Practitioner - Nurse Practitioner 4789900341 Reassigns benefits to 1 organization
I20230928000479 MS Practitioner - Nurse Practitioner 4789900341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McClendon Medical Clinic PLLCGroup PAC ID 6103129945, 5 clinicians

Practice addresses (Care Compare)

22 C Doctors Dr
Ocean Springs, MS 39564-5721
Phone (228) 244-9910

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19565TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McClendon Medical Clinic PLLC CurrentSince Aug 1, 2023 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Jan 12, 2015 Accepting new patients

Locations

22C Doctors Dr
Ocean Springs, MS 39564
Phone (228) 244-9910

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • Direct secure messaging: brcampbell@direct.mysrhs.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1679962765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD",
            "address_2": "SUITE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382588",
            "telephone_number": "901-821-8300",
            "fax_number": "901-259-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD",
            "address_2": "SUITE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382588",
            "telephone_number": "901-821-8300",
            "fax_number": "901-259-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRIANNA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.