ELIZABETH MCCAMPBELL PHD PC – Clinical Psychologist, NPI 1154567824
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELIZABETH MCCAMPBELL PHD PC
3890 Johns Creek Pkwy Ste 250
Suwanee, GA 300246602
Phone: (404) 216-0252
Fax: (678) 513-1188
Type: Location
Dress Up Cumming, 410, Peachtree Parkway, Forsyth County, Georgia, United States
SUITE 285
CUMMING, GA 30041
Phone: (404) 216-0252
Fax: (678) 513-1188
Type: Location
3890 JOHNS CREEK PKWY STE 250
SUWANEE, GA 300246602
Phone: (404) 216-0252
Fax: (678) 513-1188
Type: Location
5285 MARSTON RD
ATLANTA, GA 303601226
Phone: (404) 216-0252
Fax: (678) 513-1188
Type: Mailing
3325 PADDOCKS PKWY STE 415
SUWANEE, GA 300246059
Phone: (404) 216-0252
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.
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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: 2009-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (129 days ago).
Enrollment records
1
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20090106000695 | O | Clinic/Group Practice | GA | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 30024)
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