HEIDI DIANE CAMPBELL


Address: 865 W Lake Dr, Mount Airy, NC 27030-2102
Phone: 3367196100

HEIDI DIANE CAMPBELL (NPI# 1336229061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336229061
Entity Type Individual
Full Name HEIDI DIANE CAMPBELL
Credential PA
Practice Address 865 W Lake Dr
Mount Airy
NC 27030-2102
Mailing Address Po Box 751803
Charlotte
NC 28275-1803
Practice Telephone 3367196100
Practice Fax Number 3367192313
Mailing Telephone 3367196100
Mailing Fax Number 3367192313
Enumeration Date 2006-10-17
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 104022 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC RAILROAD MEDICARE P00457713 01
FEDERAL DEA MC1147950 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
305 E Lee Ave, Yadkinville, NC 270558132 3366792661

Other Providers HEIDI CAMPBELL

NPI Name Taxonomy Address Enumeration
1528418480 Heidi Joy Campbell Speech-Language Pathologist 11752 Valencia Gardens Ave, Palm Beach Gardens, FL 33410-2932 2016-06-21
1164700548 Heidi Campbell Doula 3343 Eastwood Dr, Charlotte, NC 28205-2111 2011-08-02
1518937903 Heidi A Campbell Physician Assistant 268 Main St, East Aurora, NY 14052-1655 2006-01-26
1043834187 Heidi Marie Campbell Community Health Worker 376 E Apple Ave, Muskegon, MI 49442-3466 2020-06-04
1477702660 Heidi A.l. Campbell Psychologist 132 Poplar Grove Connector, Suite B, Boone, NC 28607-5915 2008-09-12

Office Location

Street Address 865 W LAKE DR
City MOUNT AIRY
State NC
Zip Code 27030-2102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962407254 Jay Richard Seidler Family Medicine 865 W Lake Dr, Mount Airy, NC 27030-2157 2005-06-15
1942795323 Kristy Lynette Mabe Social Worker 865 W Lake Dr, Mount Airy, NC 27030-2157 2018-06-27
1366819807 Tonya Smith Nichols Nurse Practitioner 865 W Lake Dr, Mount Airy, NC 27030-2157 2015-09-01
1982037941 Joanne Minish Garner Nurse Practitioner 865 W Lake Dr, Mount Airy, NC 27030-2157 2013-08-14
1447500954 Jamie Scott Raymond Nurse Practitioner 865 W Lake Dr, Mount Airy, NC 27030-2157 2012-09-12
1952610073 Forsyth Memorial Hospital Inc Internal Medicine 865 W Lake Dr, Mount Airy, NC 27030-2102 2010-10-07
1154637585 Center for Family and Individual Growth, Pa Social Worker 865 W Lake Dr, Mount Airy, NC 27030-2157 2010-08-23
1992026579 Carl Ray Rhoden Family Medicine 865 W Lake Dr, Mount Airy, NC 27030-2157 2010-06-17
1790726461 Thomas Earl Parrish Jr. Family Medicine 865 W Lake Dr, Mount Airy, NC 27030-2157 2006-06-10
1295783108 Forsyth Memorial Hospital, Inc Family Medicine 865 W Lake Dr, Mount Airy, NC 27030-2157 2006-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124475017 Jeffrey Lynn Hunter Podiatrist 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 2016-05-20
1376984880 Shari York Counselor 847 Westlake Dr, Mount Airy, NC 27030 2013-07-12
1861745069 Surry-yadkin Residential Services, Inc Intermediate Care Facility, Mentally Retarded 1305 Park Dr, Mount Airy, NC 27030 2012-10-25
1346592169 Debra Lynn Campbell Physician Assistant 709 West Independence Blvd., Mount Airy, NC 27030 2012-10-03
1720217680 Lena Anderson Ferris Nurse Practitioner 708 S South St Ste 400, Mount Airy, NC 27030 2009-07-13
1013104520 Tong Li-masters Internal Medicine 830 Rockford Street, Winston Salem, NC 27030 2007-09-28
1336261528 Thomas R Jackson Dds Pa Dentist 1007 Rockford Street, Mount Airy, NC 27030 2007-04-06
1467585422 Ridgecrest Ritirement Community Assisted Living Facility Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 2007-03-13
1568516755 Lou Urmos Family Medicine 805 Merita Street, Mt Airy, NC 27030 2007-01-23
1568516391 Mark Lee Appler Internal Medicine 708 S South St Ste 100, Mount Airy, NC 27030 2007-01-22
Find all providers in zip 27030

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871151779 Catherine Grainger Kirk Physician Assistant 113 Scenic Outlet Ln, Mount Airy, NC 27030-9976 2019-06-05
1346592169 Debra Lynn Campbell Physician Assistant 709 West Independence Blvd., Mount Airy, NC 27030 2012-10-03
1649289562 Malathi L. Kakani Physician Assistant 1502 S Main St Ste 202, Mount Airy, MD 21771-5363 2006-08-07
1760483432 Daniel L Schwartz Physician Assistant 694 Riverside Dr, Mount Airy, NC 27030-3117 2005-08-03
1457352353 Edward L. Mcdowell Physician Assistant 1201 W Lebanon St, Mount Airy, NC 27030-2227 2005-08-02
1528062940 Jason Lindsey Ferris Physician Assistant 314 S South St Ste 100, Mount Airy, NC 27030 2005-06-13
1578171260 Mathew Mazo Reynolds Physician Assistant 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 2020-07-19
1073131637 Craig Elijah Howell Physician Assistant 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 2020-07-10
1588217285 Jenna Nicole Dahle Physician Assistant 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 2019-07-22
1063986883 Nicole Michelle Millard Physician Assistant 910 Worth St, Mount Airy, NC 27030-4458 2019-01-15
Find all providers in MOUNT AIRY

Competitor

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City MOUNT AIRY
Zip Code 27030

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Dataset Information

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.

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