Individual provider Active NPI

Carey Faber Campbell, MD

  • Plastic Surgery Physician
  • Memphis, TN
National Provider Identifier
1952692352
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
57221 Issued in TN
Practice address
80 Humphreys Center Dr Ste 100
Memphis, TN 38120-2352
Phone
(901) 761-9030
Fax
(901) 761-9591
NPI assigned
Apr 20, 2011
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 288961 NY
Plastic Surgery Physician 208200000X 57221 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 100
Memphis, TN 38120-2352

Mailing address

80 Humphreys Center Dr
Ste 100
Memphis, TN 38120-2352
Phone (901) 483-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001431 TN Practitioner - Plastic and Reconstructive Surgery 6901158112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Plastic Surgery Group of Memphis P.C.Group PAC ID 6608854013, 7 clinicians

Practice addresses (Care Compare)

80 Humphreys Ctr Dr
Suite 100
Memphis, TN 38120-2352
Phone (901) 761-9030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
288961NYMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: carey.campbell@psgm.eclinicaldirectplus.com
  • Direct secure messaging: ccampbell23894@mlh.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1952692352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR",
            "address_2": "STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202352",
            "telephone_number": "901-483-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202352",
            "telephone_number": "901-761-9030",
            "fax_number": "901-761-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CAREY",
        "middle_name": "FABER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "288961",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "57221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.