Orville Lee Campbell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103762 Issued in NC

Practice address

1040 Edgewater Corporate Pkwy Ste 106
Indian Land, SC 29707-4526

Phone

(803) 913-4500

Fax

(855) 576-4972

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Queens Rheumatology LLC

  • Rheumatology Physician
  • Fort Mill, SC
  • NPI 1649008087
  Medicare reassignment NPD
• Carolinas Pain Institute, PA

  • Pain Medicine Physician
  • Winston Salem, NC
  • NPI 1376598268
  NPD (past)
• Carolinas Pain Institute, PA

  • Interventional Pain Medicine Physician
  • Asheboro, NC
  • NPI 1942547120
  NPD (past)
• United Sleep Medicine Associates PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Charlotte, NC
  • NPI 1033172960
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1740293976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 106",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-913-4500",
            "fax_number": "855-576-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 106",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-913-4500",
            "fax_number": "855-576-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ORVILLE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103762",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2297157",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101172",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ocampbell46797@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "145 Kimel Park Dr Ste 330",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Archibald Butler, MD
• Colleen Marie Caffrey-Thrasher, LAC. DIPLAC, MAC
• Stephen Calderalo
• Calloway Primary Care & Wellness LLC
• Cassandra Nicole Calloway, FNP
• James Matthew Candon III, D.D.S
• Kerri Carder, M.S. CCC-SLP
• Caregivers of Carolina LLC
• Matthew Richard Carlisle, DMD
• Carolina Integrative Health Care LLC (Carolina Integrative Health Care)

• Physician Assistant in Indian Land, SC
• Providers in Indian Land, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.