Active NPI
Cameron C Avant, MD
- Anatomic Pathology & Clinical Pathology Physician
- Augusta, GA
National Provider Identifier
1063489730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 053087
- Practice address
- 1350 Walton Way
Augusta, GA 30901-2612 - Phone
- (706) 774-5430
- Fax
- (706) 774-5096
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 053087 | GA | Primary |
| Cytopathology Physician | 207ZC0500X | 053087 | GA |
Addresses
Primary practice location
1350 Walton Way
Augusta, GA 30901-2612
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (317) 275-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52207149 | Other | GA | BCBS |
| 599504230A | Medicaid | GA | |
| 58-1446543-001 | Other | GA | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060712000161 | GA | Practitioner - Pathology | 7810900990 | Reassigns benefits to 1 organization |
| I20260115000198 | SC | Practitioner - Pathology | 7810900990 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053087 | GA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuclear Medicine and Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Associates of Lexington PA | Cytopathology | Current | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- West Columbia, SC
- NPI 1316909518
Cytopathology, SC
-
- Anatomic Pathology & Clinical Pathology Physician
- Augusta, GA
- NPI 1760454318
Anatomic Pathology & Clinical Pathology, GA
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical College of Georgia School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Associates of Lexington PA
Practice addresses (Care Compare)
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 936-8146
Hospital & facility affiliations
- Lexington Medical Center
- Piedmont Augusta Hospital
- Emory University Hospital
- Doctors Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1063489730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "317-275-8000",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 WALTON WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012612",
"telephone_number": "706-774-5430",
"fax_number": "706-774-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVANT",
"first_name": "CAMERON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "053087",
"primary": true
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "GA",
"license": "053087",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52207149",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "599504230A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "58-1446543-001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.