JUSTIN CAMPBELL (NPI# 1619574738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619574738 |
| Entity Type | Individual |
| Full Name | JUSTIN CAMPBELL |
| Credential | NP |
| Practice Address |
860 S Madison St Tupelo MS 38801-4905 |
| Practice Telephone | 6623777150 |
| Practice Fax Number | 6623777155 |
| Mailing Telephone | 6623777150 |
| Mailing Fax Number | 6623777155 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
904197 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450184 | Justin R Campbell | Counselor | 2019 E Spring St, New Albany, IN 47150-1664 | 2020-08-31 |
| 1205314044 | Justin Wayne Campbell | Occupational Therapist | 2403 Woody Trace Ln, Tampa, FL 33612-7122 | 2018-08-03 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1700961778 | Justin Dale Campbell | Chiropractor | 15495 N 247 Rd, Okmulgee, OK 74447-7969 | 2006-10-26 |
| 1700442258 | Justin Andrew Campbell | Physician Assistant | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-05-09 |
| 1811263676 | Justin E Campbell | Pharmacist | 9749 Montgomery Rd, Cincinnati, OH 45242-7207 | 2012-03-27 |
| 1033368063 | Justin Campbell | Dental Assistant | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2008-09-15 |
| 1427237080 | Justin D. Campbell | Internal Medicine | 121 N 20th St, #6, Opelika, AL 36801-5449 | 2007-10-31 |
| 1427173459 | Justin Ryan Campbell | Technician, Other | 100 Laurel Ridge, Polly Summit Group Home, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1568510485 | Justin Campbell | Optometrist | 280 Harbison Blvd Ste T, Columbia, SC 29212-2247 | 2007-01-08 |
| Street Address |
860 S MADISON ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811963127 | Carolyn Estes | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-02-27 |
| 1447622196 | Kayla Hood | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2015-10-21 |
| 1881064517 | North Mississippi Medical Center, Inc. | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2015-10-07 |
| 1144669649 | Ashley Sprayberry Henson | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2013-06-18 |
| 1841554250 | Bobby W Tullos | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2012-06-29 |
| 1508903626 | Kevin Clark Harbour | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2007-01-30 |
| 1093826349 | David Alan Reed | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-08-31 |
| 1689614513 | Paul Marion Perry | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-06-08 |
| 1114984374 | David Witty | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-28 |
| 1932165073 | Robert Stewart | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789387 | Michelle Gardner Briley | Nurse Practitioner | 341 E Main St Ste A1, Tupelo, MS 38804-4040 | 2020-01-07 |
| 1891347522 | Lisa Pierce | Nurse Practitioner | 913 Holly Hill Dr, Tupelo, MS 38801-2361 | 2019-07-12 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1992234959 | Pro Health Clinic,llc | Nurse Practitioner | 4127 W Main St, Tupelo, MS 38801-8129 | 2017-06-05 |
| 1053845610 | Precious Montgomery | Nurse Practitioner | 173 Carr Vista Rd, Tupelo, MS 38801-8604 | 2017-04-20 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1528465424 | Advanced Diabetes Management Center LLC | Nurse Practitioner | 449 Gloster Creek, Suite H-9, Tupelo, MS 38801-0000 | 2014-11-21 |
| 1699051508 | Angela Sima Clegg | Nurse Practitioner | 942 Commonwealth Blvd, Tupelo, MS 38804-9762 | 2011-10-25 |
| 1427299213 | Kathi Ann Hood Tomsky | Nurse Practitioner | 2071 S Green St, Tupelo, MS 38804-6512 | 2009-03-09 |
| Find all providers in TUPELO | ||||
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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.