TRACEY LYNN CAMPBELL MS, RD, LD
NPI 1003263765
Dietitian, Registered in Columbia, SC

Q: What is Tracey Campbell's NPI number?

The NPI number for Tracey Campbell is 1003263765. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Tracey Campbell's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Campbell was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2016Accepts Medicare Assignment

2 MEDICAL PARK RD STE 107, COLUMBIA, SC 29203(803) 434-4480(803) 434-3340 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tracey Lynn Campbell Ms, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY LYNN CAMPBELL MS, RD, LD (NPI 1003263765) is an individual dietitian, registered in Columbia, South Carolina, licensed in South Carolina (1488) and active in the NPI registry since May 2016. She maintains a secondary practice location in Columbia and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003263765

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTRACEY LYNN CAMPBELLCredential: MS, RD, LD

Location Address2 MEDICAL PARK RD STE 107Columbia, SC 29203-6839

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(803) 434-4480

Fax(803) 434-3340

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 23, 2016

Last NPPES UpdateMay 23, 2023

NPPES CertifiedMay 23, 2023

✔ NPI 1003263765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in SC · 1488

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2 MEDICAL PARK RD STE 107, Columbia, SC 29203

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Secondary Practice Location 1

Location 15 Richland Medical Park DrColumbia, SC 29203-6863 · Phone (803) 296-2548

Other Identifiers 1

MedicaidDT1096SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracey Lynn Campbell Ms, Rd, Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456718774

PECOS Enrollment IDI20230601000844

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.57 – $163.84

Typical copayment $0.00 (range $13.39 – $40.96)

Most-billed visit code NA

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY STITES CNM

Advanced Practice Midwife