Richard Dean Campbell (NPI# 1932180759, PAC ID# 9032306915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1932180759 |
| PAC ID by PECOS | 9032306915 |
| Professional Enrollment ID | I20110104000768 |
| Full Name | Richard Dean Campbell |
| Organization Legal Name | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Address |
1620 Prince Ave Athens GA 30606-6008 |
| Phone Number | 7095498114 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1992 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 8123912326 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110045 | BARROW REGIONAL MEDICAL CENTER |
| 110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1620 Prince Ave, Athens, GA 30606-6008 | 7095498114 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| 24 Amherst Dr, Winder, GA 30680-7463 | 7708685644 | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Organization Legal Name | NORTHEAST GEORGIA ANESTHESIA SERVICES INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Nicole Mauney | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Dawnetta Janene Holladay | Pain Management | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Michael D Dykes | Interventional Pain Management | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| William D Hammonds | Anesthesiology | Northeast Georgia Anesthesia Services Inc. | 1030 Founders Row, Greensboro, GA 30642-5260 |
| Rachael Diane Green | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Rhonda K Puckett | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Reginald Strother | Pain Management | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Princess Bejacmar Clark | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6019 |
| Emily Diane Brooks | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 601 Broad Sest B, Gainesville, GA 30501-3729 |
| Kerri Cassidy Mckinney | Physician Assistant | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Street Address |
1620 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip | 30606-6008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Nicole Mauney | Nurse Practitioner | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Kerri Cassidy Mckinney | Physician Assistant | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Jerry A Spivey Jr. | Interventional Pain Management | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Mary K Mcdonald | Physical Medicine and Rehabilitation | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Tara E Barton | Physician Assistant | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Darin Cooper | Physician Assistant | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Stephen Gibert | Interventional Pain Management | Northeast Georgia Anesthesia Services Inc. | 1620 Prince Ave, Athens, GA 30606-6008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Danielle Clayton | Physician Assistant | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| John F Grace | Psychologist, Clinical | 1 Huntingdon Rd, Suite 801, Athens, GA 30606 | |
| Jon L Forche | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Joel T Groft | Chiropractic | 623 N Milledge Ave, Suite A, Athens, GA 30606 | |
| Alexcis Thomson Ford | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Marcie Nicks | Nurse Practitioner | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Sarah A Huber | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Robert B Raybon | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Margaret S Brya | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Nadine Greer Forche' | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Find all physicians in zip 30606 | |||
| City | ATHENS |
| Zip Code | 30606 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | ATHENS + PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.