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ACKEIME ERIC CAMPBELL M.D.
NPI 1164097622
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 26, 2021PECOS EnrolledAccepts Medicare Assignment
760 BROADWAY, DEPARTMENT OF MEDICINE, 8TH FLOOR, BROOKLYN, NY 11206(718) 963-5807 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, May 26, 2021 (2 updates tracked since 2021).

About Ackeime Eric Campbell M.d. NPPES

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

ACKEIME ERIC CAMPBELL M.D. (NPI 1164097622) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164097622
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameACKEIME ERIC CAMPBELLCredential: M.D.
Location Address760 BROADWAY, DEPARTMENT OF MEDICINE, 8TH FLOORBrooklyn, NY 11206
Mailing Address760 Broadway, Department Of Medicine, 8th FloorBrooklyn, NY 11206 · (718) 963-5807
Phone(718) 963-5807
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 26, 2021
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1164097622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
760 BROADWAY, Brooklyn, NY 11206
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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

Ackeime Eric Campbell M.d. 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 ID1951834803
PECOS Enrollment IDI20241030002290
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services112 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Elbert Memorial Hospital

Critical Access Hospitals · Elberton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111337
Location4 Medical DriveElberton, GA 30635 · Elbert County

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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ackeime Campbell's NPI number?

The NPI number for Ackeime Campbell is 1164097622. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Ackeime Campbell located?

Ackeime Campbell practices at 760 Broadway Department Of Medicine, 8th Floor, Brooklyn, NY 11206. The listed phone number is (718) 963-5807.

What is Ackeime Campbell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ackeime Campbell enrolled in Medicare?

Yes. Ackeime Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ackeime Campbell affiliated with any hospitals?

According to CMS data, Ackeime Campbell is affiliated with St Mary's Hospital, Ty Cobb Regional Medical Center, LLC, Piedmont Walton Hospital, St. Mary's Good Samaritan Hospital and Elbert Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ackeime Campbell was last updated on June 30, 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.