Individual provider Active NPI

John Campbell, M.D.

  • Diagnostic Radiology Physician
  • Mount Pleasant, TX
National Provider Identifier
1689631285
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K6754 Issued in TX
Practice address
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone
(903) 577-6000
Fax
(903) 577-6245
NPI assigned
Apr 27, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K6754 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338

Mailing address

1701 Oakmont Cir
Longview, TX 75605-2660

Other practice location 1

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2072

Other identifiers 7

IdentifierTypeStateIssuer
157336201OtherTXCOUNTY AGENCY
157336201MedicaidTX
8H0680OtherTXBLUE CROSS BLUE SHIELD TX
120535OtherTXCHIP PROGRAM
MDK6754OtherTXWORKERS COMP
P00048098OtherTXTRAVELER MEDICARE
752961826A008OtherTXCHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050628000928 TX Practitioner - Diagnostic Radiology 4880638527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

1402 Linda Dr
Daingerfield, TX 75638-2132
Phone (903) 434-8066

1610 S Jefferson Ave
Mount Pleasant, TX 75455-5614
Phone (903) 577-2273

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

2320 Harts Bluff Rd
Mount Pleasant, TX 75455-7453
Phone (903) 577-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6754TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titus County Hospital District CurrentSince Dec 4, 2018 Accepting new patients
Texas Health Care Mobile Imaging CurrentSince Jan 1, 2025 Accepting new patients
Texas Health Care Mobile Imaging CurrentSince Jan 1, 2026 Accepting new patients
Titus County Hospital District CurrentSince Dec 4, 2018 Accepting new patients
Texas Health Care Mobile Imaging CurrentSince Jan 1, 2026 Accepting new patients
Titus County Hospital District Past Accepting new patients
Venous Laser Center of East Texas Diagnostic Radiology Past Accepting new patients

Locations

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

Organizations & group practices 8

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 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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1689631285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 OAKMONT CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000",
            "fax_number": "903-577-6245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-2072",
            "fax_number": "903-247-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K6754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY AGENCY",
            "identifier": "157336201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157336201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8H0680",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP PROGRAM",
            "identifier": "120535",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "MDK6754",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELER MEDICARE",
            "identifier": "P00048098",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "752961826A008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.