Active NPI
Robert J Campbell, MD
- Family Medicine Physician
- Tallahassee, FL
National Provider Identifier
1790748598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME007168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243764800 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Practice addresses (Care Compare)
Tallahassee, FL 32304
Phone (850) 644-1543
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.33 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME007168 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Practice Plan Inc | Current | Accepting new patients | |
| Bayfront Enterprises Inc | Past | Accepting new patients | |
| Florida State University | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1710963236
-
- Student Health Clinic/Center
- Tallahassee, FL
- NPI 1699809236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.