Paul Victor Campbell III III, AGNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11027628 Issued in FL

Practice address

800 Belle Terre Pkwy # 200-183
Palm Coast, FL 32164-2314

Phone

(386) 864-9725

NPI assigned

Jul 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart of Florida Health Center, Inc 29 clinicians

Heart of the Villages PLC 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 95)

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.

• Heart of the Villages PLC

  • Cardiovascular Disease Physician
  • The Villages, FL
  • NPI 1659671774

  FL

  Medicare reassignment Care Compare group NPD
• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1710923727

  FL

  Medicare reassignment Care Compare group NPD (past)
• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984

  FL

  Medicare reassignment NPD
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1144624750
  Care Compare group
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1275265498
  Care Compare group
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Belleview, FL
  • NPI 1326442930
  Care Compare group
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1457755951
  Care Compare group
• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1093477408
  Care Compare group
• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1982248134
  Care Compare group
• Islf-Deerwood Place-Jacksonville LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1548264096
  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1770263261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BELLE TERRE PKWY # 200-183",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642314",
            "telephone_number": "386-864-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BELLE TERRE PKWY # 200-183",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642314",
            "telephone_number": "386-864-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL III",
        "first_name": "PAUL",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11027628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omayra Calderon Villafane
• Elizabeth Anita Calhoun, MD
• Rhonda D Calloway
• Sarah Marie Calvey, PA-C
• Carrie Campanile-Russell
• Angus Ferguson Campbell
• Michael Patrick Campbell, M.D.
• Trista Nicole Campbell, RBT
• Brandon R Canaday, DMD
• Cancer Specialists, LLC

• All providers in Palm Coast, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.