MEDICARE: PRIME SPINE ENTERPRISES

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1326903006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME SPINE ENTERPRISES

Provider Business Mailing Address
First Line	:	1927 HIGHWAY 138 NE STE 500
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1254
Country	:	US
Telephone Number	:	770-860-8333
Fax Number	:	770-860-8833

Provider Business Practice Location Address
First Line	:	1927 HIGHWAY 138 NE STE 500
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-1254
Country	:	US
Telephone Number	:	770-860-8333
Fax Number	:	770-860-8833

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WESLEY LLOYD CAMPBELL II
Credential	:	DC
Telephone Number	:	757-784-2175

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/17/2025

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Directions to “PRIME SPINE ENTERPRISES ” Practice Location

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