Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanielia T Campbell

Individual provider Anesthesiologist Assistant · NPI 1376337089

Tanielia T Campbell is an Anesthesiology Assistant in Kennesaw, Georgia. Qualified in 2025, 1 year ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group and works from 3 locations. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025

Practice location Address checks out

1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402
Phone: (770) 702-1806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3950 Austell Rd, Austell, GA 30106-1121 — (770) 702-1806
  • 434 Waterbury Way, Douglasville, GA 30134-6079 — (646) 703-3376

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 13669 (GA)

Record details

NPI number1376337089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address434 Waterbury Way, Douglasville, GA 30134-6079

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated

Other providers in Kennesaw