CAMPBELL CLINIC PC
NPI 1619152642
Durable Medical Equipment & Medical Supplies in Collierville, TN
NPI Status: Active since January 09, 2008
Contact Information
1900 W POPLAR AVE
COLLIERVILLE, TN
ZIP 38017
Phone: (901) 759-3100
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 44D2051195
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-13-2026
About CAMPBELL CLINIC PC
This page provides the complete NPI Profile along with additional information for Campbell Clinic Pc, a provider established in Collierville, Tennessee operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1619152642 assigned on January 2008. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Daniel Shumate (Ceo)
- NPI
- 1619152642
- Provider Name
- CAMPBELL CLINIC PC
- Entity Type
- Organization
- Location Address
- 1900 W POPLAR AVE COLLIERVILLE, TN 38017
- Location Phone
- (901) 759-3100
- Mailing Address
- 1400 S GERMANTOWN RD GERMANTOWN, TN 38138
- Mailing Phone
- (901) 759-3100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-09-2008
- Last Update Date
- 06-09-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2051195
- Facility Type
- Physician Office
- Certificate Effective Date
- December 14, 2024
- Certificate Expiration Date
- December 13, 2026
- Laboratory Director
- DR. DAVID R. RICHARDSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Campbell Clinic Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CAMPBELL CLINIC PC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 1 | 5 | 2 | 6 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 2 | 5 | 4 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 2 + 5 + 4 + 6 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1619152642 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457142937 | ERIN KELLY Individual | Physical Therapist | 1900 W POPLAR AVE COLLIERVILLE, TN 38017 (901) 759-5491 |
| 1730970245 | DR. CHASE CLANTON DPT Individual | Physical Therapist | 1900 W POPLAR AVE COLLIERVILLE, TN 38017 (901) 759-5491 |
| 1548052608 | KARA JIMENEZ PT, DPT Individual | Physical Therapist (Orthopedic) | 1900 W POPLAR AVE COLLIERVILLE, TN 38017 (901) 759-5491 |
| 1003609645 | MEGAN WOJCICKI Individual | Physical Therapist | 1900 W POPLAR AVE COLLIERVILLE, TN 38017 (901) 759-5491 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619152642, enumerated in the NPI registry as an "organization" on January 09, 2008
The provider is located at 1900 W Poplar Ave Collierville, Tn 38017 and the phone number is (901) 759-3100
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 44D2051195 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 09, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.