JEREMY H CAMPBELL (NPI# 1194925669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194925669 |
| Entity Type | Individual |
| Full Name | JEREMY H CAMPBELL |
| Credential | PT |
| Practice Address |
300 Tower Rd Ne Suite 100 Marietta GA 30060-9404 |
| Practice Telephone | 7704999918 |
| Practice Fax Number | 7707928276 |
| Mailing Telephone | 7704999918 |
| Mailing Fax Number | 7707928276 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT009072 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053742544 | Jeremy Todd Campbell | Counselor | 826 Deleware Ave, Fountain Hill, PA 18015 | 2013-12-09 |
| 1710088711 | Jeremy Shane Campbell | Optometrist | 14378 Highway 43, Russellville, AL 35653-2568 | 2006-09-25 |
| 1063812162 | Jeremy Brian Campbell | Physical Therapist | 227 E Ontario St, Suite 201, Chicago, IL 60611-3385 | 2014-08-26 |
| 1649691148 | Jeremy Campbell | Emergency Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2013-12-31 |
| 1417296575 | Jeremy Levi Campbell | Physical Therapist | 3446 Masonic Dr, Alexandria, LA 71301-3615 | 2013-02-11 |
| 1043587223 | Jeremy Campbell | Pharmacist | 6365 I 55 N, Jackson, MS 39213-9742 | 2011-11-16 |
| 1417255787 | Jeremy Fane Campbell | Acupuncturist | 621 Water St, Santa Cruz, CA 95060-4146 | 2011-03-10 |
| 1942506142 | Jeremy Campbell | Day Training/Habilitation Specialist | 5466 Spanish Moss Dr, Sparks, NV 89436-2660 | 2011-02-04 |
| 1841346368 | Jeremy S. Campbell | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2007-01-26 |
| 1477533826 | Jeremy Campbell | Family Medicine | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2006-01-20 |
| Street Address |
300 TOWER RD NE SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566527 | Stanley H Dysart | Orthopaedic Surgery | 300 Tower Rd Ne, Ste 200, Marietta, GA 30060-9403 | 2005-05-23 |
| 1023559135 | Adam Colon | Specialist/Technologist | 300 Tower Rd Ne, 200, Marietta, GA 30060-9404 | 2017-03-09 |
| 1003367707 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Specialist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2016-10-18 |
| 1023565199 | Derek Austin Dubois | Nurse Practitioner | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2016-09-07 |
| 1861841264 | Kadesha Massaud | Nurse Practitioner | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2016-06-07 |
| 1164888582 | Julianna Hartzel | Physical Therapist | 300 Tower Rd Ne, Suite100, Marietta, GA 30060-9404 | 2016-01-14 |
| 1730577172 | Pinnacle Orthopaedics | Specialist | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2015-01-08 |
| 1902213853 | Jeremy Daniel Melton | Physician Assistant | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2014-07-11 |
| 1235540659 | Aaron T. Richardson | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2014-05-20 |
| 1629395140 | Michelle Ann Ray | Physician Assistant | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235515784 | Theodore Phillip Ziaylek Jr. | Physical Therapist | 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | 2015-08-07 |
| 1073656526 | Nikki Lynn Coyne | Physical Therapist | 1015 Laurel Valley Dr Sw, Marietta, GA 30064-3973 | 2007-02-15 |
| 1235449612 | Sidney Lamb Cambardella | Physical Therapist | 1000 Johnson Ferry Rd, Suite A-12, Marietta, GA 30068-2114 | 2010-10-19 |
| 1790096097 | Jessica Neff Grussemeyer | Physical Therapist | 670 North Ave Nw, Suite 201, Marietta, GA 30060-1100 | 2010-07-01 |
| 1467780346 | Ann Marie Lowers | Physical Therapist | 401 Matthew St, Suite 210, Marietta, OH 45750-1635 | 2009-12-03 |
| 1366609133 | Kimberly B Lassiter | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2008-05-20 |
| 1790714434 | Lauren Elise Connolly | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2006-07-03 |
| 1295762557 | Avra Lenore Souval | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2006-06-26 |
| 1467416107 | Alison B. Munroe | Physical Therapist | 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 | 2006-04-12 |
| 1396712949 | Tara B. Henderson | Physical Therapist | 61 Whitcher St Ne, Suite 1150, Marietta, GA 30060-1176 | 2006-03-02 |
| Find all providers in MARIETTA | ||||
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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.