Active NPI
Duane O Campbell, MD
- Neurology Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2016-02005
- Practice address
- 612 Mocksville Ave
Salisbury, NC 28144-2732 - Phone
- (704) 637-1779
- Fax
- (704) 637-1121
- NPI assigned
- Oct 5, 2007
- Last updated
- Jan 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME107320 | FL | |
| Neurology Physician | 2084N0400X | 2016-02005 | NC | Primary |
Addresses
Primary practice location
612 Mocksville Ave
Salisbury, NC 28144-2732
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 384-9437
Other practice location 2
1910 Jake Alexander Blvd W Ste 102
Salisbury, NC 28147-1163
Phone (704) 637-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002494000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Stanford University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
15195 Heathcote Blvd
Ste 350
Haymarket, VA 20169
Phone (571) 284-3180
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
dba UVA Health Bull Run Family Medicine Manassas
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
dba MedStar Good Samaritan
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1770771529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442732",
"telephone_number": "704-637-1779",
"fax_number": "704-637-1121"
}
],
"practiceLocations": [
{
"address_1": "200 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-384-9437",
"fax_number": "704-384-9440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1910 Jake Alexander Blvd W Ste 102",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281471163",
"country_code": "US",
"telephone_number": "704-637-1779",
"fax_number": "704-637-1121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DUANE",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME107320",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2016-02005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002494000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.