CMS-1500 Box 24J / 33a • NPI
1205939550
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
2835 E HIGHWAY 76, SUITE 6, MULLINS, SC, 29574-6038
✓ 9-Digit EDI 837 ZIP+4 (29574-6038)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205939550 (TREADWELL CAMPBELL, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1205939550)
Medicare Beneficiaries
81
Total Billed Services
577
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$60,628.84
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 179 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 309 |
99497 | Advance care planning, first 30 minutes | 21 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 |
G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 27 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 31 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 48 | 19 |
| Alendronate Sodium Alendronate Sodium | 12 | <11 |
| Allopurinol Allopurinol | 17 | 11 |
| Alprazolam Alprazolam | 55 | 13 |
| Amlodipine Besylate Amlodipine Besylate | 70 | 42 |
| Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril | 11 | <11 |
| Amoxicillin Amoxicillin | 25 | 24 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1205939550 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TREADWELL CAMPBELL, M.D. |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 2835 E HIGHWAY 76, SUITE 6, MULLINS, SC, 29574-6038 |
| Practice Telephone / Fax | Tel: (843) 431-9882 | Fax: (843) 431-9879 |
| Administrative Mailing Address | PO BOX 1033, MULLINS, SC, 29574-1033 |
| Enumeration & Last Sync | Enumerated: 2006-09-05 | CMS Record Updated: 2007-07-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TREADWELL CAMPBELL, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: SC | License: 14038 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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