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TANIELIA T CAMPBELL
NPI 1376337089
Anesthesiologist Assistant in Kennesaw, GA

Active since April 07, 2025
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152(770) 702-1806 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Apr 7, 2025 (2 updates tracked since 2025).

About Tanielia T Campbell NPPES

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

TANIELIA T CAMPBELL (NPI 1376337089) is an individual anesthesiologist assistant in Kennesaw, Georgia, licensed in Georgia (13669) and active in the NPI registry since April 2025. She is affiliated with Wellstar Cobb Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376337089
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameTANIELIA T CAMPBELL
Location Address1300 RIDENOUR BLVD NW STE 300Kennesaw, GA 30152-4402
Mailing Address434 Waterbury WayDouglasville, GA 30134-6079 · (646) 703-3376
Phone(770) 702-1806
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 7, 2025
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1376337089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 13669
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1300 RIDENOUR BLVD NW STE 300, Kennesaw, GA 30152
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Secondary Practice Locations 2

Location 13950 Austell RdAustell, GA 30106-1121 · Phone (770) 702-1806
Location 2434 Waterbury WayDouglasville, GA 30134-6079 · Phone (646) 703-3376

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanielia T Campbell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022594597
PECOS Enrollment IDI20260114003486

Hospital Affiliations CMS Care Compare

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

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

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.

MELODY RUDI
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (985) 722-7993
KAELI SURILLA DAILEY
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
DAISY TAMBE JEAN-PIERRE CRNA
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
HENRY RACHAL III M.D.
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 693-0810
KATELYN E LONGACRE CRNA
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
SHEA ELIZABETH REYNOLDS
Nurse Practitioner
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
WALKER BARROW AA
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 706-1806
HOJEAN YOON MD
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806

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 Tanielia Campbell's NPI number?

The NPI number for Tanielia Campbell is 1376337089. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Tanielia Campbell located?

Tanielia Campbell practices at 1300 Ridenour Blvd NW Ste 300, Kennesaw, GA 30152. The listed phone number is (770) 702-1806.

What is Tanielia Campbell's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Tanielia Campbell enrolled in Medicare?

Yes. Tanielia Campbell is registered in the Medicare PECOS enrollment system.

Is Tanielia Campbell affiliated with any hospitals?

According to CMS data, Tanielia Campbell is affiliated with Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Tanielia Campbell was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.