Clarence Campbell III, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20425 Issued in SC

Practice address

209 S College St
Heath Springs, SC 29058

Phone

(803) 273-4018

Fax

(803) 273-4023

NPI assigned

Oct 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBJHAD

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.

• Metrolyna Health Care LLC

  dba Heath Springs Medical Center

  • Primary Care Clinic/Center
  • Heath Springs, SC
  • NPI 1780761684
  Medicare reassignment NPD
• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321
  Medicare reassignment NPD
• Prisma Health Medical Group-Midlands

  dba PH Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• Vascular Solutions PC

  • Vascular Surgery Physician
  • Charlotte, NC
  • NPI 1215973672
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1811448194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S COLLEGE ST",
            "city": "HEATH SPRINGS",
            "state": "SC",
            "postal_code": "290589710",
            "telephone_number": "803-273-4018",
            "fax_number": "803-273-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S COLLEGE ST",
            "city": "HEATH SPRINGS",
            "state": "SC",
            "postal_code": "29058",
            "telephone_number": "803-273-4018",
            "fax_number": "803-273-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Medical Park Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036808",
            "country_code": "US",
            "telephone_number": "803-540-1000",
            "fax_number": "803-540-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CLARENCE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifediora Foster Afulukwe, MD
• Children First Medical Center
• Tyana Cunningham
• David M Decillis, D.D.S.
• Heath Springs Dental Associates, P.a.
• Mollie Annette Hendrix, ATC

• Family Nurse Practitioner in Heath Springs, SC
• Providers in Heath Springs, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.