MR. WILLIE JAMES CAMPBELL LCSW
NPI 1417217092
Social Worker - Clinical in Rome, GA
About Mr. Willie James Campbell Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILLIE JAMES CAMPBELL LCSW (NPI 1417217092) is an individual clinical provider in Rome, Georgia, licensed in Georgia (CSW004685) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Willie James Campbell Lcsw 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.
Medicare Billing Reassignments
5Medicare enrollment records show Willie Campbell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rome, GA 30165
- Reassigned Medicare billing, Georgia, Kentucky and Florida enrollments
- Also billed through NPI 1538728183 (Kentucky), NPI 1730648288 (Florida)
- 92 clinicians in this Medicare group
Henderson, NC 27536
- Reassigned Medicare billing, Georgia enrollment
- 5 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, North Carolina enrollment
- 17 clinicians in this Medicare group
Elkridge, MD 21075
- Reassigned Medicare billing, Maryland and Virginia enrollments
- 41 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROME, GA 30165
ROME, GA 30165
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 Willie Campbell's NPI number?
The NPI number for Willie Campbell is 1417217092. It was assigned to this individual provider in the NPPES registry on May 17, 2012.
Where is Willie Campbell located?
Willie Campbell practices at 1345 Redmond Cir NW, Rome, GA 30165. The listed phone number is (910) 742-9243.
What is Willie Campbell's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Willie Campbell enrolled in Medicare?
Yes. Willie 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.
Which organizations bill Medicare for Willie Campbell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willie Campbell reassigns Medicare benefits to 5 organizations: Lifesource Of North Carolina (Rome, GA), Lavni, Inc (Henderson, NC), Axis Healthcare Group (Silver Spring, MD), Mcs, PC (Silver Spring, MD) and Backpack Medical Group, P.C. (Elkridge, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willie Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Willie Campbell accept?
Health plans from Alliant Health Plans, Inc., CareSource, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 5 other insurers list Willie Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Willie Campbell was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mr. Willie James Campbell, LCSW · NPI 1417217092
Clinical provider in Rome, Georgia. Individual provider, active in the CMS NPPES registry since May 17, 2012.
## Identity
- **NPI:** 1417217092 (Entity type: Individual)
- **Enumerated:** May 17, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW004685 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1345 REDMOND CIR NW, Rome, GA 30165-1307
- **Phone:** (910) 742-9243 · **Fax:** (888) 746-1787
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Lifesource Of North Carolina (NPI 1962940817, Rome, GA); Lavni, Inc (NPI 1215673256, Henderson, NC); Axis Healthcare Group (NPI 1326295098, Silver Spring, MD); Mcs, PC (NPI 1538717723, Silver Spring, MD); Backpack Medical Group, P.C. (NPI 1851177570, Elkridge, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** December 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417217092) · Data from the CMS NPPES public registry.