Dr Collier Coates Campbell, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Atlanta, Georgia. His current practice location is
100 Woodruff Cir Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(318) 464-6106.
Dr Collier Coates Campbell is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366955270.
Physician's Profile
Full Name | Dr Collier Coates Campbell |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 100 Woodruff Cir Ne, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366955270
- Provider Enumeration Date: 11/14/2017
- Last Update Date: 05/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961832894
- Enrollment ID: I20200416004026
Medical Identifiers
Medical identifiers for Dr Collier Coates Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366955270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 43278 (Alabama) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 43278 (Alabama) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Collier Coates Campbell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Collier Coates Campbell, MD 1488 E Rock Springs Rd Ne, Atlanta, GA 30306-2384 Ph: (318) 464-6106 | Dr Collier Coates Campbell, MD 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 Ph: (318) 464-6106 |
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