CAMPBELL SURGICAL – NPI #1790110146
Surgery

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.

Health Care Provider Taxonomy Code for Surgery

CAMPBELL SURGICAL is a surgeon located in MOORESVILLE, NC. NPPES has assigned the NPI number 1790110146 to CAMPBELL SURGICAL on September 04, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAMPBELL SURGICAL” is a dba name, the actual legal business name for this organization is MOORESVILLE PPM LLC. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Jan 14, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAMPBELL SURGICAL below.

NPI Profile for
MOORESVILLE PPM LLC

NPI Number
1790110146
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOORESVILLE PPM LLC
Doing Business As (dba): CAMPBELL SURGICAL
Primary location
123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC 28117-5516
Phone: (704) 663-7905 Fax: (704) 360-4954
Mailing address
4000 MERIDIAN BLVD
FRANKLIN, TN 37067-6325
Phone: (615) 465-7230 Fax:
Organization Subpart
Yes - CAMPBELL SURGICAL is subpart of another organization.
Authorized Official
JENNIFER JACKSON
SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334
Updated
Certification Date
Jan 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.