Douglas Lee Campbell, M.D.
Individual provider Active NPI Emergency Medicine Physician · Chattanooga, TN
NPI 1942528401 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1942528401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD0000049779 (TN)
- Practice address
- 975 E 3Rd St
Erlanger Medical Center
Chattanooga, TN 37403-2147 - Phone
- (423) 778-7000
- NPI assigned
- May 8, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Coverage LLC
Lauderdale Community Hospital LLC
Practice addresses (Care Compare)
1607 S Locust Ave Hwy 43
Lawrenceburg, TN 38464-4011
Phone (931) 762-6571
340 Asbury Ave
Ripley, TN 38063-5577
Phone (731) 221-2200
Hospital & facility affiliations
- Lauderdale Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130806000670 | TN | Practitioner - Emergency Medicine | 6901042423 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000049779 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauderdale Community Hospital LLC | Current |
Accepting new patients | |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Lauderdale Community Hospital LLC | Current |
Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current |
Accepting new patients |
| DX Mso, PLLC | Current |
Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD0000049779 | TN | Yes |
Addresses
Primary practice location
975 E 3Rd St
Erlanger Medical Center
Chattanooga, TN 37403-2147
Mailing address
1572 Wind River Cir E
Cordova, TN 38016-8590
Phone (901) 753-8117
Other providers in Chattanooga, TN
- Patricia Ruth Lee Camp
- Judith Margaret Campbell Wallace
- Althea Campbell
- Angela B Campbell
- Craig O'Neil Campbell
- Ian R Campbell
- Joyce L. Campbell
- Judith B Campbell
- Mark Wayne Campbell
- Mary Campbell
All providers in Chattanooga, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.