CAMPBELL SURGICAL
NPI 1790110146
Surgery in Mooresville, NC

NPI Status: Active since September 04, 2013

Contact Information

123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC
ZIP 28117
Phone: (704) 663-7905
Fax: (704) 360-4954

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  • Organization
  • Surgery

About CAMPBELL SURGICAL

This page provides the complete NPI Profile along with additional information for Campbell Surgical, a provider established in Mooresville, North Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1790110146 assigned on September 2013. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Campbell Surgical operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Campbell Surgical. The authorized official of this NPI record is Jennifer L Jackson (Sr Dir Prov Enrollment & Onboarding)

NPI
1790110146
Provider Legal Name
MOORESVILLE PPM LLC
Other Organization Name
CAMPBELL SURGICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
123 PROFESSIONAL PARK DR STE 101 MOORESVILLE, NC 28117
Location Phone
(704) 663-7905
Location Fax
(704) 360-4954
Mailing Address
4000 MERIDIAN BLVD FRANKLIN, TN 37067
Mailing Phone
(615) 465-7230
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-04-2013
Last Update Date
01-14-2022
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A surgeon like Campbell Surgical treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER L JACKSON

Authorized Official Title
SR DIR PROV ENROLLMENT & ONBOARDING
Authorized Official Phone
(615) 465-3334

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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.
1790110146
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718021018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 2 + 1 + 0 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1790110146 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386200848 PHYLLIS ANN SHANKLIN LCSW
Individual
Social Worker (Clinical)123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 399-7976
1477103810 CHRISTINA M STONE RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 799-0202
1427698604 MICHAEL DOYLE RN
Individual
Registered Nurse123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 799-0202
1326620683 SASHA MILLINGTON
Individual
Counselor (Addiction (Substance Use Disorder))123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 749-9560
1952983215 ELIZABETH SMITH
Individual
Peer Specialist123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 749-9560
1225611015 SHELBY SMITH
Individual
Peer Specialist123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(828) 989-8686
1356920110 TARA DAY
Individual
Peer Specialist123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 749-9560
1487235313 LAKEITHA GASTON
Individual
Peer Specialist123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 749-9560
1669054532 RANDALL PERKINS
Individual
Peer Specialist123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 749-9560
1134893779 AARON PRICE
Individual
Peer Specialist123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 749-9560
1699437350 RACHEL GREENING LCSWA
Individual
Social Worker (Clinical)123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(866) 588-0977
1518099910DR. NZINGA AJABU HARRISON M.D.
Individual
Psychiatry & Neurology (Psychiatry)123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 799-0202
1013447960 JALESSA SHANICE CHERRY LCSW
Individual
Social Worker (Clinical)123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 749-9560
1770037699MRS. VERONICA LYNN CHEEK LCMHCS
Individual
Counselor (Mental Health)123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117
(704) 799-0202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790110146, enumerated in the NPI registry as an "organization" on September 04, 2013

The provider is located at 123 Professional Park Dr Ste 101 Mooresville, Nc 28117 and the phone number is (704) 663-7905

This medical organization specializes in Surgery with taxonomy code 208600000X

This NPI record was last updated on September 04, 2013. 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].
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