Individual provider Active NPI

Patrick Taylor Campbell, MD

  • Gastroenterology Physician
  • Winston Salem, NC
National Provider Identifier
1982135091
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2020-02845 Issued in NC
Practice address
1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915
Phone
(336) 448-2427
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020-02845 NC
Gastroenterology Physician 207RG0100X 2020-02845 NC Primary

Addresses

Primary practice location

1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915

Mailing address

130 Mason Farm Road Bioinformatics Building CB# 7080
Chapel Hill, NC 27599-0001

Other practice location 1

130 Mason Farm Road Bioinformatics Building Cb# 7080
Chapel Hill, NC 27599-2908
Phone (984) 974-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230808001949 NC Practitioner - Gastroenterology 5294082293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of the Piedmont PAGroup PAC ID 4587568860, 24 clinicians

Practice addresses (Care Compare)

1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103-3915
Phone (336) 448-2427

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
87.75
Promoting interoperability
100
Improvement activities
40
Cost
79.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-02845NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of the Piedmont, P.a. Gastroenterology CurrentSince Jul 1, 2023 Accepting new patients
Gastroenterology Associates of the Piedmont, P.a. Gastroenterology Current Accepting new patients

Locations

1901 S Hawthorne Rd
Ste 310
Winston Salem, NC 27103
Phone (336) 448-2427

1830 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 448-2427

Organizations & group practices 2

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.

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1982135091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MASON FARM ROAD BIOINFORMATICS BUILDING CB# 7080",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD STE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033915",
            "telephone_number": "336-448-2427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Mason Farm Road Bioinformatics Building Cb# 7080",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275992908",
            "country_code": "US",
            "telephone_number": "984-974-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PATRICK",
        "middle_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-02845",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2020-02845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.