MEDICARE: JAMES KIRK CAMPBELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	105530	GA
2	207RG0100X	Gastroenterology Physician	22745	MS
3	207RG0100X	Gastroenterology Physician	MD.13610R	LA

General Provider Information

NPI Number	:	1053331421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES KIRK CAMPBELL MD

Provider Business Mailing Address
First Line	:	827 TEGARDEN RD
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39507-3314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 BARATARIA BLVD STE 4400
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-3084
Country	:	US
Telephone Number	:	504-349-6401
Fax Number	:	504-349-6444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/21/2025

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Directions to “ JAMES KIRK CAMPBELL MD” Practice Location

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