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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. THEADORA DEVONE CAMPBELL PA-C
NPI 1689635377
Physician Assistant in Fayetteville, NC

Active since March 31, 2006PECOS Enrolled
2300 RAMSEY ST, FAYETTEVILLE, NC 28301(910) 488-2120 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Theadora Devone Campbell Pa-c NPPES

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

MS. THEADORA DEVONE CAMPBELL PA-C (NPI 1689635377) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (102996) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689635377
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. THEADORA DEVONE CAMPBELLCredential: PA-C
Location Address2300 RAMSEY STFayetteville, NC 28301-3856
Mailing Address6556 Foxberry RdFayetteville, NC 28314-1874
Phone(910) 488-2120
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1689635377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 102996
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2300 RAMSEY ST, Fayetteville, NC 28301
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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 (PECOS)

Ms. Theadora Devone Campbell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28301 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

JOSHUA DEION MOORE
Dietitian, Registered
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
DR. MARY BETH BARNES PSY.D.
Psychologist (Clinical)
2300 RAMSEY ST, MS 116
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
MR. DAVID CRAIG MELVIN PHARMD
Pharmacist
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
DR. ANGELA H. ELLIOTT PHARM.D.
Pharmacist (Psychiatric)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 482-5151
MS. MITCHELL THOMPSON
Social Worker (Clinical)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
SAN SAN WAI M.D.
Internal Medicine
2300 RAMSEY ST, VA MEDICAL CENTER
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
JORDAN LEE LASATER
Pharmacist
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (910) 488-2120
CARL T COGDELL LCSW
Social Worker (Clinical)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Cumberland County (252) 717-5043

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 Theadora Campbell's NPI number?

The NPI number for Theadora Campbell is 1689635377. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Theadora Campbell located?

Theadora Campbell practices at 2300 Ramsey St, Fayetteville, NC 28301. The listed phone number is (910) 488-2120.

What is Theadora Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Theadora Campbell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Theadora Campbell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.