Active NPI
Jamie Alexis Weaver Campbell, DO
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1750813481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2020-00612
- Practice address
- 1350 S Kings Dr
Charlotte, NC 28207-2134 - Phone
- (704) 446-1242
- NPI assigned
- Mar 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2020-00612 | NC | Primary |
Addresses
Primary practice location
1350 S Kings Dr
Charlotte, NC 28207-2134
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
400 E Morehead St
Ste 202
Charlotte, NC 28202-2610
Phone (704) 355-0607
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.73 of 100
- Quality
- 73.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-00612 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Coastal Carolina Primary Care, LLC | Current | Accepting new patients | |
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Grand Strand Regional Medical Center LLC | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
400 E Morehead St
#202
Charlotte, NC 28202
Phone (704) 355-0607
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1350 S Kings Dr
Fl 3
Charlotte, NC 28207
Phone (704) 446-1242
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
920 Doug White Dr
Ste 250
Myrtle Beach, SC 29572
Phone (843) 236-1950
5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- ambulatory@direct.carolinashealthcare.org
Organizations & group practices 6
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Myrtle Beach, SC
- NPI 1821257676
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1750813481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072134",
"telephone_number": "704-446-1242"
}
],
"practiceLocations": [
{
"address_1": "400 E Morehead St",
"address_2": "Ste 202",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282022610",
"country_code": "US",
"telephone_number": "704-355-0607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JAMIE",
"middle_name": "ALEXIS WEAVER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2023-05-04",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2020-00612",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1350 S Kings Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282072134",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.