Individual provider Active NPI

Michelle M Campbell, M.D.

  • Family Medicine Physician
  • Stafford, VA
National Provider Identifier
1780646182
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101236336 Issued in VA
Practice address
2765 Jefferson Davis Hwy Ste 210
Stafford, VA 22554-8331
Phone
(540) 288-3335
Fax
(540) 288-3385
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101236336 VA Primary

Addresses

Primary practice location

2765 Jefferson Davis Hwy Ste 210
Stafford, VA 22554-8331

Mailing address

2765 Jefferson Davis Hwy Ste 210
Stafford, VA 22554-8331
Phone (540) 288-3335

Other practice location 1

319 Hospital Dr
Suite 210
Martinsville, VA 24112-1929
Phone (276) 656-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000395 VA Practitioner - Family Practice 7517932817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Prince William Area Community Health Center IncGroup PAC ID 9436258209, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

17739 Main St
Suite 130
Dumfries, VA 22026-3256
Phone (703) 680-7950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urgent Care LLC CurrentSince Mar 31, 2009 Accepting new patients
Martinsville Physician Practices LLC Family Medicine Past Accepting new patients
Danville Regional Medical Center, LLC Past Accepting new patients

Locations

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1780646182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY STE 210",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-288-3335",
            "fax_number": "540-288-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY STE 210",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-288-3335",
            "fax_number": "540-288-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Hospital Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241121929",
            "country_code": "US",
            "telephone_number": "276-656-1006",
            "fax_number": "276-656-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.