Active NPI
Derrick Campbell
- Counselor
- Rincon, GA
National Provider Identifier
1952196529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5717 Ga Highway 21 S
Rincon, GA 31326-5554 - Phone
- (912) 297-6539
- Fax
- (912) 500-2970
- NPI assigned
- Apr 14, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5717 Ga Highway 21 S
Rincon, GA 31326-5554
Mailing address
PO Box 757
Guyton, GA 31312-0757
Phone (912) 297-6539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Path Counseling Services, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Savannah, GA
- NPI 1780520486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1952196529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 757",
"city": "GUYTON",
"state": "GA",
"postal_code": "313120757",
"telephone_number": "912-297-6539",
"fax_number": "912-500-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5717 GA HIGHWAY 21 S",
"city": "RINCON",
"state": "GA",
"postal_code": "313265554",
"telephone_number": "912-297-6539",
"fax_number": "912-500-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DERRICK",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-04-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.