| Gary L Campbell Ii, CRNA | |
|
2026 S Jackson St, Jacksonville, TX 75766-5822 | |
| (903) 541-4600 | |
| (903) 541-0638 |
| Full Name | Gary L Campbell Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 2026 S Jackson St, Jacksonville, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639378532 | NPI | - | NPPES |
| 308547300 | Medicaid | FL | |
| G4333 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 212903 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP119446 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 112 |
| Piedmont Anesthesia Llc | 2163837972 | 555 |
| Amsol Anesthetists Of Georgia, Llc | 5193780955 | 26 |
| Entity Name | Sweet Dreams Nurse Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649463365 PECOS PAC ID: 5294823266 Enrollment ID: O20071109000111 |
| Entity Name | Progressive Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
| Entity Name | Nmda Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
| Entity Name | City of Hope Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Entity Name | Sentry Anesthesia Management, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Coastal Ambulatory Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
| Entity Name | Gi Anesthesia of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Entity Name | Anesthesia Dynamics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
| Entity Name | Piedmont Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Entity Name | Everest Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568158418 PECOS PAC ID: 2961868559 Enrollment ID: O20230524002431 |
| Entity Name | Hospitalist Medicine Physicians of Georgia - Tcs, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033926191 PECOS PAC ID: 3971024910 Enrollment ID: O20250306003415 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Campbell Ii, CRNA 243 Maple Creek Dr, Newnan, GA 30263-7047 Ph: (321) 287-3048 | Gary L Campbell Ii, CRNA 2026 S Jackson St, Jacksonville, TX 75766-5822 Ph: (903) 541-4600 |
Mr. Martin E Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2626 S Jackson, Jacksonville, TX 75766 Phone: 903-541-4630 Fax: 903-586-5710 |
Mr. Barry Lynn Thibodeaux, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1463 Se Loop 456, Jacksonville, TX 75766 Phone: 903-589-1150 |
Julian Avery Armstrong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4600 Fax: 903-586-5710 |
Mrs. Ashley Newman Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4600 Fax: 903-586-5710 |
Timothy B Different, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 Fax: 903-541-4679 |
Mr. Jack David Capps, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4500 |