Camron L Johnson Privitera, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0102201592 Issued in VA

Practice address

5000 Brambleton Ave Ste B
Roanoke, VA 24018-4642

Phone

(540) 200-8091

Fax

(540) 779-7848

NPI assigned

Jun 9, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: camronl.johnson.p1@direct.physicianstochildren.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Beginnings Pediatrics PLLC

  • Pediatrics Physician
  • Blacksburg, VA
  • NPI 1679355747
  NPD (past)
• Physicians to Children, Inc.

  • Pediatrics Physician
  • Roanoke, VA
  • NPI 1649362351
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1003810862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRAMBLETON AVE STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184642",
            "telephone_number": "540-200-8091",
            "fax_number": "540-779-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRAMBLETON AVE STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184642",
            "telephone_number": "540-200-8091",
            "fax_number": "540-779-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON PRIVITERA",
        "first_name": "CAMRON",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102201592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6830577",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "244013",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "54088505618",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010072701",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "139824",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7861556",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Kenyon John, M.D.
• Sooraj John, MD
• Travis Johns, ATC
• David E Johnsen, M.D.
• Johnson Curran Optometry Centers PC
• Sandra Ellen Johnson-Harris, L.C.S.W.
• Anthony Tyler Johnson
• Brent Mitchell Johnson, M.D.
• Bruce E Johnson, MD
• Crystal G Johnson, SLP

• Pediatrics Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.