ROSS M CAMPBELL (NPI# 1215973482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215973482 |
| Entity Type | Individual |
| Full Name | ROSS M CAMPBELL |
| Credential | MD |
| Practice Address |
1180 Resurgence Dr Suite 100 Watkinsville GA 30677-7210 |
| Practice Telephone | 7065435858 |
| Practice Fax Number | 7065432050 |
| Mailing Telephone | 7065435858 |
| Mailing Fax Number | 7065432050 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
059380 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786876 | Ross David Campbell | Otolaryngology | 801 Welch Road, Stanford, CA 94305 | 2018-07-13 |
| 1457481913 | Ross Campbell | Physical Therapist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2007-03-06 |
| Street Address |
1180 RESURGENCE DR SUITE 100 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679930648 | Christopher K Brune | Physician Assistant | 1180 Resurgence Dr, Ste 100, Watkinsville, GA 30677-7211 | 2016-01-21 |
| 1558603811 | Amanda Eanes Pisciotta | Physician Assistant | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2013-03-25 |
| 1164746236 | Laura Ragan Phillips | Physician Assistant | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2010-03-18 |
| 1891960696 | Kristen Ann Thomas | Dermatology | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2008-04-23 |
| 1912103888 | Ashmita Jayaram Shah | Dentist | 1180 Resurgence Dr, Suite 300, Watkinsville, GA 30677-7210 | 2007-06-26 |
| 1063426534 | Jessica Hope Cook | Physician Assistant | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881659 | Karen R Maffei | Dermatology | 1050 Thomas Ave, Watkinsville, GA 30677-6071 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| 1063668762 | Medical Services of Northern Georgia, Inc. | Dermatology | 4060 Peachtree Rd Ne, #d284, Atlanta, GA 30319-3020 | 2008-08-13 |
| 1720189293 | Janice Murphy Warner | Dermatology | 1550 Mulkey Rd, Austell, GA 30106 | 2006-09-26 |
| 1366409880 | John David Kayal | Dermatology | 2366 Habersham Dr Sw, Marietta, GA 30064-3804 | 2006-04-27 |
| 1023015690 | Diamondis John Papadopoulos | Dermatology | 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| 1154938579 | Forefront Dermatology, S.c. | Dermatology | 7000 Wellness Way Ste 7120, St Simons Island, GA 31522-2286 | 2020-09-29 |
| 1710449079 | Forefront Dermatology, S.c. | Dermatology | 5505 Peachtree Dunwoody Rd Ste 412, Atlanta, GA 30342-1758 | 2019-04-04 |
| 1245780980 | Baucom & Mina Derm Surgery, LLC | Dermatology | 5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342-1703 | 2016-10-06 |
| 1396087680 | Surgical & Cosmetic Dermatology, P. C. | Dermatology | 1615 Highway 34 E Ste B, Newnan, GA 30265 | 2013-03-25 |
| 1568766822 | David B Pharis Md PC | Dermatology | 3855 Pleasant Hill Rd, Suite 200, Duluth, GA 30096-1407 | 2010-12-30 |
| Find all providers with the same taxonomy | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
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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.