Campbell Clinic PC
NPI 1104711514 · Durable Medical Equipment & Medical Supplies · Bristol, TN
Enrolled with Medicare as Dme Supplier - Physician - Orthopedic/Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Campbell Clinic PC is a Durable Medical Equipment & Medical Supplies organization in Bristol, TN (NPI 1104711514).
Provider details
- NPI number
- 1104711514
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Campbell Clinic PC
- Organization subpart
- Yes
- Authorized official
- Daniel Shumate, Ceo(901) 759-3100
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Campbell Clinic PC's NPI number?
- Campbell Clinic PC's National Provider Identifier (NPI) is 1104711514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Campbell Clinic PC?
- Campbell Clinic PC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Campbell Clinic PC located?
- Campbell Clinic PC's practice location on file with NPPES is 1 Medical Park Blvd Ste 300e, Bristol, TN 37620-7497.
- What is Campbell Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Campbell Clinic PC is (423) 844-6450.
- Does Campbell Clinic PC accept Medicare?
- Campbell Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Campbell Clinic PC?
- The authorized official listed on Campbell Clinic PC's NPPES record is Daniel Shumate, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Campbell Clinic PC's NPI active?
- Yes — Campbell Clinic PC's NPI (1104711514) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.