Active NPI
Camry Danielle Campbell, FNP-C
- Nurse Practitioner
- Greenville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 904696
- Practice address
- 1502 S Colorado St
Greenville, MS 38703-7219 - Phone
- (662) 332-9872
- Fax
- (662) 332-9878
- NPI assigned
- Jun 14, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 904696 | MS | Primary |
Addresses
Primary practice location
1502 S Colorado St
Greenville, MS 38703-7219
Mailing address
1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 332-9872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210630002473 | MS | Practitioner - Nurse Practitioner | 3870994635 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Greenville Clinic
Practice addresses (Care Compare)
1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 332-9872
Hospital & facility affiliations
- Arden Home Health of West Ms, LLC
- Delta Health-the Medical Center
- Vitalcaring Group
- Delta Health System - the Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Greenville Clinic | Current | Accepting new patients | |
| Dr Joseph R Terracina, MD, PA | Current | Accepting new patients | |
| Integrated Dermatology Group, LLC | Past | Accepting new patients |
Locations
2525 Highway 1 S
Ste A
Greenville, MS 38701
Phone (662) 335-1103
1502 S Colorado St
Greenville, MS 38703
Phone (601) 332-9872
Interoperability endpoints
- camrycampbell@tgcpa.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Dermatology Physician
- Greenville, MS
- NPI 1164930517
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, MS
- NPI 1477651362
-
- Home Health Agency
- Belzoni, MS
- NPI 1649295684
-
- Home Health Agency
- Cleveland, MS
- NPI 1215244017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1891363081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 S COLORADO ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037219",
"telephone_number": "662-332-9872",
"fax_number": "662-332-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 S COLORADO ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037219",
"telephone_number": "662-332-9872",
"fax_number": "662-332-9878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CAMRY",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "904696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.