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DR. ANNYCE RAMONA CAMPBELL MD NPI 1306938592


NPI Information

NPI: 1306938592
Provider Name: DR. ANNYCE RAMONA CAMPBELL, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 25D0885976

Address:
4510 HANGING MOSS RD
JACKSON, MS
ZIP 39206
Phone: (769) 257-5713
Get Directions

DR. Annyce Ramona Campbell, MD is a family medicine in Jackson, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Annyce Ramona Campbell, MD NPI is 1306938592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4510 HANGING MOSS RD
JACKSON, MS
ZIP 39206-962
Phone: (769) 257-5713
Fax: (769) 257-5715

The NPI 1306938592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 25D0885976 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 9/9/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine08563MISSISSIPPIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1251850MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
2251936MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
3080000062MEDICARE PINMISSISSIPPI
4D00892MEDICARE UPINMISSISSIPPI
500012698MEDICAIDMISSISSIPPI
6251933MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
7C01051MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.