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DR. GAVIN PAUL CAMPBELL DO
NPI 1700751963
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since October 08, 2025PECOS Enrolled
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27517(336) 716-4498(336) 716-0934 Get Directions Write a Review

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

Record update history: Apr 16, 2026, Apr 7, 2026, Oct 8, 2025 (3 updates tracked since 2025).

About Dr. Gavin Paul Campbell Do NPPES

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

DR. GAVIN PAUL CAMPBELL DO (NPI 1700751963) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700751963
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GAVIN PAUL CAMPBELLCredential: DO
Location Address1 MEDICAL CENTER BLVDWinston Salem, NC 27517
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-4498
Phone(336) 716-4498
Fax(336) 716-0934
Sole ProprietorYes
Enumeration DateOctober 8, 2025
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1700751963 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.
1 MEDICAL CENTER BLVD, Winston Salem, NC 27517
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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)

Dr. Gavin Paul Campbell Do 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.

Other Providers at the Same Location NPPES

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

SHIMENA RUTH LI MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON-SALEM, NC 27517
Chatham County (336) 713-5256

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 Gavin Campbell's NPI number?

The NPI number for Gavin Campbell is 1700751963. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Gavin Campbell located?

Gavin Campbell practices at 1 Medical Center Blvd, Winston Salem, NC 27517. The listed phone number is (336) 716-4498.

What is Gavin 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 Gavin Campbell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gavin Campbell was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.