Kristen Nicole Campbell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

462 Elma G Miles Pkwy
Hinesville, GA 31313-4000

Phone

(912) 369-9400

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Urgent Care LLCGroup PAC ID 4082802509, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Southern Urgent Care LLC

  • Urgent Care Clinic/Center
  • Savannah, GA
  • NPI 1205136470
  Medicare reassignment Care Compare group
• Southland Optim Screven Emergency Medical Services LLC

  • Emergency Medicine Physician
  • Sylvania, GA
  • NPI 1174917157
  Medicare reassignment NPD
• Southland Bainbridge Hospitalist Group, LLC

  • Hospitalist Physician
  • Bainbridge, GA
  • NPI 1356735336
  Medicare reassignment
• Southland Optim Jenkins Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Millen, GA
  • NPI 1265826242
  Medicare reassignment
• Hospital Authority of Liberty County

  dba Liberty Regional Orthopaedics

  • Orthopaedic Surgery Physician
  • Hinesville, GA
  • NPI 1023443801
  NPD
• Hospital Authority of Liberty County

  dba Liberty Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Hinesville, GA
  • NPI 1508356395
  NPD
• Southland Optim Jenkins Emergency Medical Services, LLC

  dba DBA Southland Liberty Emergency Medical Services

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1477913580
  NPD
• Hospital Authority of Liberty County

  dba Liberty Regional Medical Center

  • Critical Access Hospital
  • Hinesville, GA
  • NPI 1326079260
  NPD (past)
• Wills Memorial Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Washington, GA
  • NPI 1275066326
  NPD (past)

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1932897063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODCOCK RD UNIT 2205",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314041089",
            "telephone_number": "347-924-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ELMA G MILES PKWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134000",
            "telephone_number": "912-369-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisha Byman
• Nadia Bynoe-Peters, PTA
• Michele W Cahill, CRNA
• Rachel Cain, LPN
• Brianna Calvano
• Larry Ivan Canfield, PA
• Kristine Canlas
• Markisa Cannon, RBT
• Tonya Cannon
• Noemi Adelina Carcar, MD

• Physician Assistant in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.

Verify at the official NPI Registry.