Individual provider Active NPI

Robert Campbell, APRN-CNP

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1780325787
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34430 Issued in TN
Practice address
1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Phone
(931) 840-8547
NPI assigned
Apr 5, 2022
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34430 TN Primary

Addresses

Primary practice location

1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410

Mailing address

1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Phone (931) 840-8547

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20231215000785 TN Practitioner - Nurse Practitioner 3173972114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1222 Trotwood Ave
Suite 601
Columbia, TN 38401-6410
Phone (931) 548-0053

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.45 of 100Reported as group
Quality
42.88
Promoting interoperability
77
Improvement activities
40
Cost
74.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
34430TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Medical Group, Inc Family CurrentSince Oct 21, 2023 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Oct 21, 2023 Accepting new patients
Family Health Group Inc Past Accepting new patients

Locations

1222 Trotwood Ave
Ste 601
Columbia, TN 38401
Phone (931) 381-2062

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

Organizations & group practices 3

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1780325787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 601",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016410",
            "telephone_number": "931-840-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 601",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016410",
            "telephone_number": "931-840-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.