Charles Larry Campbell (NPI# 1205921574, PAC ID# 5294839239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY.
| Nation Provider ID (NPI) | 1205921574 |
| PAC ID by PECOS | 5294839239 |
| Professional Enrollment ID | I20190311000809 |
| Full Name | Charles Larry Campbell |
| Organization Legal Name | PIEDMONT CARDIOLOGY OF ATLANTA, LLC |
| Address |
191 Deep S Farm Rd Blairsville GA 30512-2220 |
| Phone Number | 7064396380 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0345321691 |
| Number of Group Practice Members | 246 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110051 | UNION GENERAL HOSPITAL |
| 341328 | MURPHY MEDICAL CENTER INC |
| 110083 | PIEDMONT HOSPITAL |
| 111324 | CHATUGE REGIONAL HOSPITAL |
| 110225 | PIEDMONT MOUNTAINSIDE HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 191 Deep S Farm Rd, Blairsville, GA 30512-2220 | 7064396380 | PIEDMONT CARDIOLOGY OF ATLANTA, LLC |
| 35 Hospital Rd, Blairsville, GA 30512-3139 | 7067452111 | UNION COUNTY HOSPITAL AUTHORITY |
| Organization Legal Name | PIEDMONT CARDIOLOGY OF ATLANTA, LLC |
| Physicians | 270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Lynn Sheffield | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 95 Collier Nwrd, Suite 5015, Atlanta, GA 30309-1721 |
| Roy Elie Abrahamian | Interventional Cardiology | Piedmont Cardiology of Atlanta, LLC | 309 Highland Pkwy, Suite 200, Ellijay, GA 30540-6782 |
| Ashley Mcguire-tanksley | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1301 Sigman Rd Ne, Conyers, GA 30012-3819 |
| Federico Milla | Thoracic Surgery | Piedmont Cardiology of Atlanta, LLC | 101 Lake Oconee Pkwy Ne, Eatonton, GA 31024-6054 |
| Kimberly W Naab | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1700 |
| Sanjay Lall | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 2145 Slater Mill Rd, Douglasville, GA 30135-1205 |
| Kathy J Aliffi | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 20 Francis Way, Suite 101, Sharpsburg, GA 30277-3589 |
| Cheryl H Mitcham | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Ramona Davis | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Bobby A Smith | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Street Address |
191 DEEP S FARM RD |
| City | BLAIRSVILLE |
| State | GA |
| Zip | 30512-2220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Elizabeth Hill | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Thomas D Gary | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Crystal B Gary | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Jennifer L Jones | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Tina S Keaton | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Joe Henry Livingston Iv | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Catherine Gordon | Nurse Practitioner | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Katherine Storms | Nurse Practitioner | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| David K Zollinger | Physician Assistant | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Jonathan A Lawrence | Family Medicine | North Georgia Medicine LLC | 346 Deep S Farm Rd, Suite A, Blairsville, GA 30512-2218 |
| Find all physicians in zip 30512 | |||
| City | BLAIRSVILLE |
| Zip Code | 30512 |
| Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| City + Specialty | BLAIRSVILLE + ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
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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.