MR. WILL CAMPBELL (MA, MBA, LADAC II) – Addiction (Substance Use Disorder) Counselor, NPI 1972211266

MR. WILL CAMPBELL (MA, MBA, LADAC II) is a healthcare provider. based in Burns, Tennessee. specializing in ADDICTION MEDICINE. They hold the professional credentials MA, MBA, LADAC II. They hold a License No. LDC0000001489 (TN). The NPI Number for MR. WILL CAMPBELL (MA, MBA, LADAC II) is 1972211266

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILL CAMPBELL (MA, MBA, LADAC II)
NPI
1972211266
Phone
(615) 570-4105
Address
999 GIRL SCOUT RD
Enumeration Date
7 November 2022
Last Update Date
7 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159941000
Graduation Year
2016 (10 years ago)
PAC ID
3678089265
Group Practice PAC ID
1254709959
Professional Enrollment ID
I20250725003509
Address ID
VA234623099VI249XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

79 ADDICTION MEDICINE in TN

Provider Addresses for MR. WILL CAMPBELL (MA, MBA, LADAC II)

  • 999 GIRL SCOUT RD

    BURNS, TN 370299065

    Phone: (615) 570-4105

    Mailing address matches the actual address.

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: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250721003403IAddiction MedicineTNTBD
I20250725003509IAddiction MedicineVATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37029)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254709959View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantVA
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTX
Nurse PractitionerTX
Internal Medicine, Addiction Medicine, Addiction Medicine, Internal MedicineTX
Nurse PractitionerTX
P S Y C H I A T R YTN
Internal Medicine, Addiction MedicineTN

Reviews

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Frequently asked questions

Can I use this page to confirm MR. WILL CAMPBELL (MA, MBA, LADAC II)'s NPI?
Yes. MR. WILL CAMPBELL (MA, MBA, LADAC II) is listed with NPI 1972211266 in the public NPI dataset.
Is MR. WILL CAMPBELL (MA, MBA, LADAC II) still practicing?
MR. WILL CAMPBELL (MA, MBA, LADAC II) is currently listed as active in the public NPI registry.
What is MR. WILL CAMPBELL (MA, MBA, LADAC II) best known for clinically?
Directory data describes MR. WILL CAMPBELL (MA, MBA, LADAC II) with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Does MR. WILL CAMPBELL (MA, MBA, LADAC II) list a practice location?
Patients near Burns, Tennessee may find MR. WILL CAMPBELL (MA, MBA, LADAC II) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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