DR. ANGELA POTTER CAMPBELL (MD) – Family Medicine Physician, NPI 1710979596
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
Provider Addresses for DR. ANGELA POTTER CAMPBELL (MD)
1999 HIGHWAY 51 S
COVINGTON, TN 380193630
Phone: (901) 476-4457
Fax: (901) 475-4389
Type: Location
965 RIDGE LAKE BLVD STE 315
MEMPHIS, TN 381209401
Phone: (901) 227-4618
Fax: (901) 447-5054
Type: Mailing
6401 POPLAR AVE STE 610
MEMPHIS, TN 381194806
Phone: (901) 227-5045
Fax: (901) 224-5043
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070904000638 | I | Family Practice | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 38 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 42 | 29 | $0 |
| 81003 | Automated urinalysis test | 14 | 14 | $0 |
Insurance plans in this area (ZIP 38019)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TN | 83036 | Hemoglobin A1C level | 21 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Family Practice | MS | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | MS | |
| Internal Medicine | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN |
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