Active NPI
James William Campbell III, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN264107
- Practice address
- 121 Church St
Vidalia, GA 30474-4752 - Phone
- (912) 805-2705
- NPI assigned
- Oct 28, 2019
- Last updated
- Jan 19, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN264107 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN264107 | GA | Primary |
Addresses
Primary practice location
121 Church St
Vidalia, GA 30474-4752
Mailing address
121 Church St
Vidalia, GA 30474-4752
Phone (912) 805-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1067 Peachtree St
Louisville, GA 30434-1558
Phone (478) 625-7000
121 Church St
Vidalia, GA 30474-4752
Phone (912) 805-2705
215 Mims Rd
Sylvania, GA 30467-1994
Phone (912) 557-1207
400 Cedar St
Metter, GA 30439-3706
Phone (912) 685-5741
931 E Winthrope Ave
Millen, GA 30442-1839
Phone (912) 557-1207
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN264107 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
Locations
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950
1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000
400 Cedar St
Metter, GA 30439
Phone (912) 685-1726
931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
121 Church St
Vidalia, GA 30474
Phone (912) 537-7737
3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588
120 Gordon St
Washington, GA 30673
Phone (706) 678-1177
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Vidalia, GA
- NPI 1235015579
-
dba Candler County Hospital
- Medicare Defined Swing Bed Hospital Unit
- Metter, GA
- NPI 1588868947
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
-
- Emergency Medicine Physician
- Millen, GA
- NPI 1265826242
-
- Emergency Medicine Physician
- Sylvania, GA
- NPI 1174917157
-
dba Emergency Resource Group
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
-
- Emergency Medicine Physician
- Hawkinsville, GA
- NPI 1891100962
-
- Hospitalist Physician
- Hawkinsville, GA
- NPI 1093120909
-
- Emergency Medicine Physician
- Metter, GA
- NPI 1205608007
-
dba Pulaski Health & Wellness
- Primary Care Clinic/Center
- Pulaski, GA
- NPI 1316523707
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Candler County Hospital
- Critical Access Hospital
- Metter, GA
- NPI 1790888089
-
dba Jefferson Hospital
- General Acute Care Hospital
- Louisville, GA
- NPI 1710992433
-
- Critical Access Hospital
- Millen, GA
- NPI 1760452098
-
dba Optim Medical Center - Screven
- Critical Access Hospital
- Sylvania, GA
- NPI 1225339898
-
dba appling healthcare system
- General Acute Care Hospital
- Baxley, GA
- NPI 1861615304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1851935316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CHURCH ST",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304744752",
"telephone_number": "912-805-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CHURCH ST",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304744752",
"telephone_number": "912-805-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-28",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN264107",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN264107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.