CAMPBELL CLINIC PC NPI 1003835141

NPI Information

  • NPI: 1003835141
  • Provider Name: CAMPBELL CLINIC, PC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • CLIA Number: 44D0994760
  • Address: 1400 S GERMANTOWN RD
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 759-3100

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NPI Details

CAMPBELL CLINIC, PC is an orthopaedic surgery in Germantown, TN. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CAMPBELL CLINIC, PC NPI is 1003835141. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 S GERMANTOWN RD
GERMANTOWN, TN
ZIP 38138-205
Phone: (901) 759-3100

The provider's authorized official is Daniel Shumate .
The authorized official title is Ceo and has the following contact phone number (901) 759-3100.

The CLIA number assigned to this NPI record is 44D0994760 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 6/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports MedicineNo
2207T00000XNeurological SurgeryNo
3207R00000XInternal MedicineNo
4208100000XPhysical Medicine & RehabilitationNo
5213ES0131XPodiatristFoot SurgeryNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7363A00000XPhysician AssistantNo
8363L00000XNurse PractitionerNo
9207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109010261MEDICAIDMISSISSIPPI
2107015002MEDICAIDARKANSAS
381355OTHERARKANSASBLUE CROSS BLUE SHIELD AR
43373783MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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