MR. MICHAEL ANDREW WADE CAMPBELL (NPI# 1154891877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154891877 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANDREW WADE CAMPBELL |
| Practice Address |
4550 Amysaye Walk Nw Acworth GA 30101-8342 |
| Practice Telephone | 4049177992 |
| Mailing Telephone | 4049177992 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | 404144 | GA | Nursing Service Related Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
404144 | GA | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 404144 | GA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE ISSUE NUMBER | 404144 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515014 | Michael Richard Campbell | Optometrist | 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926-2838 | 2020-10-12 |
| 1497288955 | Michael Campbell | Lodging | 175 Munn Ave, Irvington, NJ 07111-2745 | 2017-04-11 |
| 1710426911 | Michael Campbell | Counselor | 347 Quincy St, Brockton, MA 02302-3419 | 2017-02-21 |
| 1134350903 | Michael Lory Campbell | Internal Medicine | 753 Saint Francis St, Unit 2003, Mobile, AL 36602-1500 | 2009-07-28 |
| 1467692525 | Michael John Campbell | Chiropractor | 13600 Ventura Boulevard, Sherman Oaks, CA 91423 | 2009-03-03 |
| 1629229141 | Michael Andrew Campbell | Orthopaedic Surgery | 231 Granite Run Drive, Lancaster, PA 17601-6823 | 2008-10-02 |
| 1689863235 | Michael Christoph Campbell | Emergency Medical Technician, Paramedic | 3600 Meyran Ave, 10028 Forbes Tower, Pittsburgh, PA 15260 | 2007-10-19 |
| 1255531067 | Michael Harry Campbell | Psychologist | School of Clinical Medicine and Research, U. of The West Indies, Queen Elizabeth Hospital, Bridgetown, ST. MICHAEL BB | 2007-07-19 |
| 1578760377 | Michael Lane Campbell | Family Medicine | 2200 Pump Rd Ste 100, Richmond, VA 23233-3539 | 2007-06-27 |
| 1336209170 | Michael F. Campbell | Speech-Language Pathologist | 5900 Summit Ave Ste 103, Browns Summit, NC 27214-9859 | 2006-12-11 |
| Street Address |
4550 AMYSAYE WALK NW |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154554723 | Sanlina Ann Polly | Technician | 466 Gregory Ln Apt 106, Acworth, GA 30102-7533 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779481 | Karen Maria Jefferson | Technician | 1350 Ridenour Blvd Nw Apt 1303, Kennesaw, GA 30152-4588 | 2020-10-30 |
| 1114525193 | Bivens Nursing Services | Technician | 1123 Brown Ave, Columbus, GA 31906-2404 | 2020-10-13 |
| 1114539723 | Lisa Anita Riley | Technician | 3020 Bedrock Dr, Villa Rica, GA 30180-3422 | 2020-08-17 |
| 1770194458 | Michelle Perdue | Technician | 611 Trove Dr Nw, Rome, GA 30165-1065 | 2020-08-14 |
| 1972129914 | My Healing Angels LLC | Technician | 15 Mary Jane Ln, Covington, GA 30016-2325 | 2020-06-24 |
| 1053934802 | Simplicitys Personal Care Home LLC | Technician | 6741 Church St Ste 2, Riverdale, GA 30274-2249 | 2020-05-27 |
| 1811519622 | Torina L Collins | Technician | 103 Lavender St, Fort Valley, GA 31030-2625 | 2020-05-14 |
| 1225650658 | Melinda Frank | Technician | 2409 Mallard Ln # B, Hephzibah, GA 30815-5831 | 2020-05-07 |
| 1083248066 | Comfort Care Solutions Inc. | Technician | 2760 Broxton Mill Ct, Snellville, GA 30039-4437 | 2020-02-27 |
| 1942843792 | Ladonna Griffin | Technician | 813 Oakland Ave Sw, Rome, GA 30165-4125 | 2019-10-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.