NATALIE OLIVIA CAMPBELL (NPI# 1770076499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770076499 |
| Entity Type | Individual |
| Full Name | NATALIE OLIVIA CAMPBELL |
| Credential | DO |
| Practice Address |
304 Shorter Ave Nw Ste 201 Rome GA 30165-4256 |
| Practice Telephone | 7065093358 |
| Practice Fax Number | 7062927653 |
| Mailing Telephone | 7065093358 |
| Mailing Fax Number | 7062927653 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 86961 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250759 | Natalie Marie Campbell | Dental Hygienist | 5979 Emory Blvd, Fort Belvoir, VA 22060-3236 | 2019-08-16 |
| 1871998500 | Natalie Campbell | Psychologist | 275 Business Park Dr., Kenna, WV 25248 | 2014-10-23 |
| 1235285578 | Natalie Sipe Campbell | Speech-Language Pathologist | 3165 Sentinel Pkwy, Lawrenceville, GA 30043-2193 | 2007-01-27 |
| 1144868563 | Natalie Ann Campbell | Behavior Technician | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2019-12-16 |
| 1740763986 | Natalie Campbell | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2018-09-13 |
| 1366781353 | Natalie A Campbell | Dentist | 1 Jarrett White Rd, Attn: Credentials Coordinator, Tripler Amc, HI 96859-5001 | 2013-02-11 |
| 1881642981 | Natalie Cordero Campbell | Nurse Anesthetist, Certified Registered | 200 Hawthorne Lane, Charlotte, NC 28204 | 2006-05-04 |
| 1447229893 | Natalie A Campbell | Physician Assistant | 825 Ne 10th St, Oupb1430, Oklahoma City, OK 73104-5417 | 2006-03-17 |
| Street Address |
304 SHORTER AVE NW STE 201 |
| City | ROME |
| State | GA |
| Zip Code | 30165-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327856 | Johnathan Edward Henderson | Family Medicine | 304 Shorter Ave Nw Ste 201, Rome, GA 30165 | 2005-06-27 |
| 1568087708 | Nzota Pelagie Nsona Koyagialo | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2020-06-13 |
| 1912562927 | Romy Bhagat | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1710542725 | Ashley Corey | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1811552821 | Trever Biles | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1588229595 | Benjamin Steven Bell | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1528623535 | Diego Herrera | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1871158881 | Ra'shead Pompey | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1780249706 | Logan Minshew | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1871158840 | Jordan Moss | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427195759 | Christopher Wade Sellers | General Practice | 1309 Redmond Cir Nw, Rome, GA 30165-1307 | 2007-01-30 |
| 1114410842 | Dyanna Marie Fountain | General Practice | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2018-06-07 |
| 1205868114 | Joseph J Mangraviti | General Practice | 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1345 | 2006-07-07 |
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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.