Jimmy Rex Campbell Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9276226 Issued in FL

Practice address

6469 Greenland Chase Blvd
Jacksonville, FL 32258-9440

Phone

(678) 234-5229

NPI assigned

Jun 27, 2014

Last updated

Jun 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Rex Campbell Professional name

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Emergency Medical Specialists of Jacksonville

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1295738367
  Medicare reassignment NPD
• Clinch County Hospital Authority

  • Critical Access Hospital
  • Homerville, GA
  • NPI 1861478851
  Medicare reassignment NPD
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Medicare reassignment NPD
• Phoebe Sumter Medical Center, Inc.

  • General Acute Care Hospital
  • Americus, GA
  • NPI 1609001312
  Medicare reassignment NPD
• Southland-Nashville Emergency Services, LLC.

  • Emergency Medicine Physician
  • Nashville, GA
  • NPI 1639467038
  Medicare reassignment NPD
• Wayne Emergency Group LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1982828943
  Medicare reassignment NPD
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Specialty Pharmacy

  • Community/Retail Pharmacy
  • Albany, GA
  • NPI 1891315420
  NPD
• Phoebe Radiology

  • Diagnostic Radiology Physician
  • Albany, GA
  • NPI 1710147210
  NPD
• Phoebe Sumter Medical Center, Inc

  dba Phoebe Sumter Ellaville Clinic

  • Rural Health Clinic/Center
  • Ellaville, GA
  • NPI 1376778001
  NPD
• Southland-Nashville Emergency Services, LLC

  • Hospitalist Physician
  • Nashville, GA
  • NPI 1558622266
  NPD
• Quality Primary Care P a

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1245525518
  NPD (past)

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1881009843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6469 GREENLAND CHASE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589440",
            "telephone_number": "678-234-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6469 GREENLAND CHASE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589440",
            "telephone_number": "678-234-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JIMMY",
        "middle_name": "REX",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9276226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REX",
            "last_name": "CAMPBELL",
            "prefix": "MR.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Donald B. Campbell, DCPA
• Elizabeth Campbell
• James Campbell
• James C Campbell, MD
• James Douglas Campbell, M.D.
• Joy Campbell, LMT
• Komuni Campbell
• Kylee Campbell
• Latonya Shay Campbell, RN
• Lynell L Campbell, OT

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.