Individual provider Active NPI

Robert J Campbell, MD

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1790748598
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME007168 Issued in FL
Practice address
2911 Roberts Ave
Tallahassee, FL 32310-5007
Phone
(850) 644-1543
Fax
(855) 230-7421
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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 ME007168 FL Primary

Addresses

Primary practice location

2911 Roberts Ave
Tallahassee, FL 32310-5007

Mailing address

2911 Roberts Ave
Tallahassee, FL 32310-5007
Phone (850) 644-1543

Other identifiers 1

IdentifierTypeStateIssuer
243764800MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000337 FL Practitioner - Family Practice 5092782821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Practice Plan IncGroup PAC ID 3971608993, 27 clinicians

Practice addresses (Care Compare)

Tallahassee, FL 32304
Phone (850) 644-1543

Merit-based Incentive Payment System (MIPS)

Final score
87.33 of 100Reported as group
Quality
89.31
Promoting interoperability
100
Improvement activities
40
Cost
68.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME007168FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Practice Plan Inc CurrentSince Apr 3, 2019 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
Florida State University PastSince Apr 3, 2019 Accepting new patients

Locations

4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 201-0956

2911 Roberts Ave
Tallahassee, FL 32310
Phone (850) 644-1542

1115 W Call St
Tallahassee, FL 32304
Phone (850) 644-1543

Interoperability endpoints

  • Direct secure messaging: robert.campbell.1@19268.direct.athenahealth.com

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1790748598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105007",
            "telephone_number": "850-644-1543",
            "fax_number": "855-230-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105007",
            "telephone_number": "850-644-1543",
            "fax_number": "855-230-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME007168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243764800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.