Individual provider Active NPI

Matthew Campbell

  • Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1972824720
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD49987 Issued in TN
Practice address
281 N Lyerly St Ste 100
Chattanooga, TN 37404-2747
Phone
(423) 698-2229
Fax
(423) 495-2760
NPI assigned
Jun 16, 2010
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4148 GA
Pediatrics Physician 208000000X MD49987 TN Primary

Addresses

Primary practice location

281 N Lyerly St Ste 100
Chattanooga, TN 37404-2747

Mailing address

PO Box 306647
Nashville, TN 37230-6647
Phone (423) 698-2229

Other practice location 1

6787 Lee Hwy Ste 103
Chattanooga, TN 37421-5796
Phone (423) 698-2229

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
I20130828000838 TN Practitioner - Pediatric Medicine 3173779451 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4148GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince Jan 1, 2021 Accepting new patients
Scenic City Pediatrics PLLC Pediatrics CurrentSince Dec 22, 2024 Accepting new patients
Vanderbilt Integrated Providers, LLC Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Memorial Health Partners Foundation, Inc Pediatrics PastSince Dec 22, 2024 Accepting new patients

Locations

281 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 698-2222

6787 Lee Hwy
Ste 103
Chattanooga, TN 37421
Phone (423) 698-2229

7305 Jarnigan Rd
Ste 125
Chattanooga, TN 37421
Phone (423) 698-2229

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

1440 Cedar Ln
Ste 100
Tullahoma, TN 37388
Phone (931) 393-7060

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1972824720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306647",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306647",
            "telephone_number": "423-698-2229",
            "fax_number": "423-495-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042747",
            "telephone_number": "423-698-2229",
            "fax_number": "423-495-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6787 Lee Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374215796",
            "country_code": "US",
            "telephone_number": "423-698-2229",
            "fax_number": "423-495-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "4148",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD49987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.