Active NPI
Elaine Lao Campbell, D.O.
- Internal Medicine Physician
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2013-00216
- Practice address
- 9615 Kincey Ave Ste 210
Huntersville, NC 28078-9140 - Phone
- (704) 495-6334
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2013-00216 | NC | Primary |
Addresses
Primary practice location
9615 Kincey Ave Ste 210
Huntersville, NC 28078-9140
Mailing address
5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334
Other practice location 1
16455 Statesville Rd
Suite 200
Huntersville, NC 28078-7135
Phone (704) 302-8600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831393867 | Medicaid | NC | |
| NC2182 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20130906000872 | NC | Practitioner - Internal Medicine | 4880746460 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tryon Medical Partners, PLLCProactive Therapy of North Carolina IncLegacy Healthcare Services IncSelect Physical Therapy Holdings Inc
Practice addresses (Care Compare)
16817 Marvin Rd
Charlotte, NC 28277-2196
Phone (704) 495-6334
201 McCullough Dr
Charlotte, NC 28262-3577
Phone (704) 547-1129
548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271
7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598
Hospital & facility affiliations
- Centerwell Home Health
- Bayada Home Health Care, Inc
- Novant Health Huntersville Medical Center
- Carolinas Medical Center-Northeast
- Atrium Health Lincoln
- Atrium Health University City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tryon Medical Partners, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
5950 Fairview Rd
Ste 330
Charlotte, NC 28210
16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256
5960 Fairview Rd
Ste 500
Charlotte, NC 28210
9615 Kincey Ave
Ste 210
Huntersville, NC 28078
Phone (704) 489-3113
Interoperability endpoints
- elaine.campbell.1@17847.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1992204549
Internal Medicine, NC
-
- Physical Therapy Clinic/Center
- Marion, NC
- NPI 1013912732
-
- Physical Therapy Clinic/Center
- Wilson, NC
- NPI 1477559771
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- Rehabilitation Clinic/Center
- Ahoskie, NC
- NPI 1902405178
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charlotte, NC
- NPI 1023377439
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
Hospital
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Hospital
-
- Home Health Agency
- Shelby, NC
- NPI 1649203431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1831393867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 FAIRVIEW RD STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103113",
"telephone_number": "704-495-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 KINCEY AVE STE 210",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789140",
"telephone_number": "704-495-6334"
}
],
"practiceLocations": [
{
"address_1": "16455 Statesville Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787135",
"country_code": "US",
"telephone_number": "704-302-8600",
"fax_number": "704-302-8650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ELAINE",
"middle_name": "LAO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2013-00216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831393867",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2182",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.