Coty Campbell (NPI# 1265579106, PAC ID# 4082790357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265579106 |
| PAC ID by PECOS | 4082790357 |
| Professional Enrollment ID | I20080326000905 |
| Full Name | Coty Campbell |
| Organization Legal Name | COLUMBIA DERMATOLOGY LLC |
| Address |
1600 Lake Murray Blvd Columbia SC 29212-8623 |
| Phone Number | 8037319600 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698086460 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1600 Lake Murray Blvd, Columbia, SC 29212-8623 | 8037319600 | COLUMBIA DERMATOLOGY LLC |
| Organization Legal Name | COLUMBIA DERMATOLOGY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Rae Burgy | Dermatology | Columbia Dermatology LLC | 1600 Lake Murray Blvd, Columbia, SC 29212-8623 |
| Street Address |
1600 LAKE MURRAY BLVD |
| City | COLUMBIA |
| State | SC |
| Zip | 29212-8623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Rae Burgy | Dermatology | Columbia Dermatology LLC | 1600 Lake Murray Blvd, Columbia, SC 29212-8623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trista Loren Hewett | Nurse Practitioner | Lexington County Health Services District Inc | 7037 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Rebecca Lucas Clemenz | Dermatology | 7039 Saint Andrews Rd, Columbia, SC 29212-1177 | |
| Elizabeth A Boison | Nurse Practitioner | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Suite 203, Columbia, SC 29212-1177 |
| Christopher J Rubel | Family Practice | Firstchoice Healthcare PC | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 |
| Donald L Powell | Emergency Medicine | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Lashell L Head | Nurse Practitioner | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Katie M Smyers | Physical Therapy | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Suite 203, Columbia, SC 29212-1177 |
| Walter B Harman Jr. | Certified Registered Nurse Anesthetist (crna) | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Rodney Charles Wadley | Preventative Medicine | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Katie Frick | Physical Therapy | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Suite 203, Columbia, SC 29212-1177 |
| Find all physicians in zip 29212 | |||
| City | COLUMBIA |
| Zip Code | 29212 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLUMBIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Coty Campbell.
| 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.