Alexandra Caroline Campanile, BA, MMS
Individual provider Active NPI Emergency Medicine Physician · Lenoir City, TN
NPI 1972371946 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1972371946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Practice address
- 550 Fort Loudon Medical Center Dr
Lenoir City, TN 37772-5686 - Phone
- (865) 271-6000
- NPI assigned
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416000405 | TN | Practitioner - Physician Assistant | 1951740539 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5873 | TN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0 | TN | Yes |
Addresses
Primary practice location
550 Fort Loudon Medical Center Dr
Lenoir City, TN 37772-5686
Mailing address
550 Fort Loudon Medical Center Dr
Lenoir City, TN 37772-5686
Phone (865) 271-6000
Other providers in Lenoir City, TN
- Joanna Marie Buxkemper
- Mary Lea Byrd
- Jessica Cagle
- Kelly Ann Caldwell-Chor
- Cameron Company Medical Equipment, LLC
- Randy T Cannon
- Bethany Ann Capehart
- Caris Healthcare
- Brookelyn Carr
- Cheryl S. Cason
All providers in Lenoir City, 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 Dec 19, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.