Charlie Campbell

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

256 McMillan Rd
Dacula, GA 30019-2337

Phone

(770) 353-9660

NPI assigned

Jul 28, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Good Landing Recovery Atlanta

  • Substance Abuse Rehabilitation Facility
  • Dacula, GA
  • NPI 1083379101
  NPD Authorized official
• Good Landing Wellness Center

  • Clinic/Center
  • Dacula, GA
  • NPI 1255085130
  NPD Authorized official
• Good Landing Recovery Detox and Residential. LLC

  • Substance Abuse Rehabilitation Facility
  • Gainesville, GA
  • NPI 1730816828
  NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1881320083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FISHER CT",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MCMILLAN RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192337",
            "telephone_number": "770-353-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHARLIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlie@goodlandingrecovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "256 McMillan Rd",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300192337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlie@goodlandingrecovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "256 McMillan Rd",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300192337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Butucha Wellness LLC
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• Nadia Cajuste
• Campbell Chiropractic, Inc.
• Chelsea Campbell, MS CCC-SLP
• Marcia Raylene Pritchett Campbell, D.C.
• Jennifer Suzanne Cantrell, CPNP
• Yadira Cardona-Rohena, D.M.D.
• Carey L. Norton, D.M.D., P.C.

• Addiction (Substance Use Disorder) Counselor in Dacula, GA
• Providers in Dacula, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.