Robin Elizabeth Campbell, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R852871 Issued in MS

Practice address

107 Ball Ave
Tylertown, MS 39667-2101

Phone

(601) 377-1975

Fax

(601) 377-1976

NPI assigned

Feb 20, 2015

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blackwells Family Medicine LLCGroup PAC ID 0749616381, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Walthall County General Hospital Cah Hospital, Tylertown, MS, CCN 251324

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robin.campbell.1@20592.direct.athenahealth.com
• Direct secure messaging: rcampbell@direct.mhg.com
• FHIR API: https://api.platform.athenahealth.com/20592/brand/1/csg/1/fhir/r4

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.

• Blackwell's Family Medicine LLC

  • Primary Care Clinic/Center
  • Tylertown, MS
  • NPI 1366003436
  Medicare reassignment Care Compare group NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD
• Conx Care Corporation

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1548183510
  NPD (past)
• Dr. K's Family Medicine

  • Rural Health Clinic/Center
  • Bogalusa, LA
  • NPI 1265971147
  NPD (past)

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

• Walthall General Hospital

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1023326485
  Care Compare affiliation
• Walthall General Hospital

  dba Walthall Rural Health Clinic

  • Critical Access Hospital
  • Tylertown, MS
  • NPI 1255649604
  Care Compare affiliation

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1689066151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BALL AVE",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672101",
            "telephone_number": "601-377-1975",
            "fax_number": "601-377-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BALL AVE",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672101",
            "telephone_number": "601-377-1975",
            "fax_number": "601-377-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBIN",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R852871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03455575",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessing Hearts Healthcare Services,LLC
• Blessing Hearts Private Duty Home Care LLC
• Charles Justin Boyd
• Sarah Brock
• Peter Andrew Bundgard, M.D.
• Care Management Group Inc (Billdora Nursing Home)
• Elizabeth Carey, PTA
• Deondra Monique Carr, PHD, RN
• Shelia Carson
• Cma Family Medicine Clinic

• Family Nurse Practitioner in Tylertown, MS
• Providers in Tylertown, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.