Active NPI
Camelia Gregory Revels
- Case Manager/Care Coordinator
- Hiram, GA
National Provider Identifier
1043771587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 398 Darbys Run CT
Hiram, GA 30141-4140 - Phone
- (404) 775-0252
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
398 Darbys Run CT
Hiram, GA 30141-4140
Mailing address
398 Darbys Run CT
Hiram, GA 30141-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1043771587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 DARBYS RUN CT",
"city": "HIRAM",
"state": "GA",
"postal_code": "301414140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 DARBYS RUN CT",
"city": "HIRAM",
"state": "GA",
"postal_code": "301414140",
"telephone_number": "404-775-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVELS",
"first_name": "CAMELIA",
"middle_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiram, GA
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- Restoration Hope Wellness Center LLC
- Restoration Physical Therapy, LLC.
- Roderick Rhyant, MD
- Elizabeth L Riley, LPC
- Parin Pearl Rimtepathip, M.D.
- Crystal Marie Rivers-Harrell, LMT
- Daniel Victor Roberts, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.