| Mr James William Campbell Iii, FNP-C | |
|
121 Church St, Vidalia, GA 30474-4752 | |
| (912) 805-2705 | |
| Not Available |
| Full Name | Mr James William Campbell Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 121 Church St, Vidalia, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851935316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN264107 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Optim Medical Center - Screven | Sylvania, GA | Hospital |
| Appling Hospital | Baxley, GA | Hospital |
| Jefferson Hospital | Louisville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Consolidated Emergency Services Llc | 2860792066 | 56 |
| Southland Optim Jenkins Emergency Medical Services, Llc | 9537461538 | 17 |
| Southland Optim Screven Emergency Medical Services Llc | 9739480021 | 17 |
| Entity Name | Hospital Authority Of Candler County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415 |
| Entity Name | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Southland Optim Screven Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
| Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
| Entity Name | Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477001972 PECOS PAC ID: 7911811435 Enrollment ID: O20161012000482 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James William Campbell Iii, FNP-C 121 Church St, Vidalia, GA 30474-4752 Ph: (912) 805-2705 | Mr James William Campbell Iii, FNP-C 121 Church St, Vidalia, GA 30474-4752 Ph: (912) 805-2705 |
Mrs. Cindy Ellen Hand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 | |
Dana M Avist, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams St, Vidalia, GA 30474 Phone: 912-537-1772 | |
Angela Dean Hamilton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 904 Clyde Blvd, Vidalia, GA 30474 Phone: 912-326-3885 | |
Jessi Erica Woods, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Santoria Shamika Felton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Kimberly Rae Warren, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2203 Ga Highway 130 W, Vidalia, GA 30474 Phone: 912-245-5491 | |
Pate Howell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498 |