GARY L CAMPBELL II (NPI# 1639378532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639378532 |
| Entity Type | Individual |
| Full Name | GARY L CAMPBELL II |
| Credential | CRNA |
| Practice Address |
427 Pine Bluff Rd Eastman GA 31023-7923 |
| Practice Telephone | 3212873048 |
| Mailing Telephone | 3212873048 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 212903 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | G4333 | 01 |
| FL | 308547300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194902510 | Gary Hubert Campbell | Family Medicine | 21 Conway Springs Dr, Chesterfield, MO 63017-3411 | 2008-01-28 |
| 1851590327 | Gary Duane Campbell | Counselor | 7102 W Lincoln Ave, Yakima, WA 98908-1240 | 2007-07-16 |
| 1942321526 | Gary Dean Campbell Jr. | Chiropractor | 10158 S Parker Rd, Ste B, Parker, CO 80138-9801 | 2007-04-02 |
| 1053382481 | Gary G. Campbell | Optometrist | 17 North Ave, Rockland, MA 02370-2123 | 2006-02-01 |
| 1265931042 | Gary Campbell | Registered Nurse | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-02-07 |
| 1790295582 | Gary Lee Campbell Jr. | Nurse Practitioner | 50 Spring Vista Dr, Debary, FL 32713 | 2017-10-05 |
| 1336592708 | Gary Edward Campbell | Physician Assistant | 360 Hospital Dr Ste 120, Clyde, NC 28721-0107 | 2016-07-20 |
| 1083762009 | Gary F. Campbell | Counselor | 501 Columbia St Nw Ste E, Olympia, WA 98501-1062 | 2007-01-08 |
| 1093823791 | Gary Campbell | Physical Medicine & Rehabilitation | 6116 Oakbend Trl, Suite 112, Fort Worth, TX 76132-3925 | 2006-08-25 |
| 1124067459 | Gary L Campbell | Optometrist | 3860 W Ogden Ave, Chicago, IL 60623-2460 | 2006-06-05 |
| Street Address |
427 PINE BLUFF RD |
| City | EASTMAN |
| State | GA |
| Zip Code | 31023-7923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1174832232 | Lynetta Davies | Counselor | 17 Tanner Dr, Eastmon, GA 31023 | 2010-10-06 |
| 1467774380 | Dustin Phillip Smith | Chiropractor | 285 Plaza Avenue, Eastman, GA 31023 | 2010-02-19 |
| 1639311145 | D&b Home Care Inc | Durable Medical Equipment & Medical Supplies | 714 Medical Center Drive, Eastman, GA 31023 | 2009-03-30 |
| 1427273465 | Hospice Care Options Inc | Hospice Care, Community Based | 715 Legion Dr, Eastman, GA 31023 | 2007-04-16 |
| 1740318625 | Dana W Mullis | Dentist | 1003 Plaza Ave, Eastman, GA 31023 | 2007-03-01 |
| 1285787630 | 801 Legion LLC | Skilled Nursing Facility | 815 Legion Dr, Eastman, GA 31023 | 2007-01-19 |
| 1396813317 | Womens Health PC | Obstetrics & Gynecology | 821 Plaza Ave, Suite B, Eastman, GA 31023 | 2006-11-30 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1215030978 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 535 Oak St, Eastman, GA 31023 | 2006-09-07 |
| Find all providers in zip 31023 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525940 | Keri Ann Paulk | Nurse Anesthetist, Certified Registered | 901 Griffin Ave, Eastman, GA 31023-6720 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
| 1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
| 1932762580 | Velocity Health Partners LLC | Nurse Anesthetist, Certified Registered | 1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248-7036 | 2019-04-19 |
| 1255805107 | B and B Healthcare Consultants | Nurse Anesthetist, Certified Registered | 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 | 2019-01-14 |
| 1497227797 | Mustapha Timmy Issa | Nurse Anesthetist, Certified Registered | 1403 Elderberry Run Cv, Lawrenceville, GA 30043-3999 | 2018-12-26 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1467927038 | Glga Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1250 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3871 | 2018-10-09 |
| 1972098770 | Brett E Mason | Nurse Anesthetist, Certified Registered | 902 S 7th St, Cordele, GA 31015-2855 | 2018-06-25 |
| 1760989925 | Dream Team Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 807 Carroll St Ste C-2002, Perry, GA 31069-3311 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
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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.