NPIMap

Individual provider Active NPI

Cameron James Gill, M.D.

  • Surgery Physician
  • Camden, SC
National Provider Identifier
1154882512
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
93330 Issued in SC
Practice address
1102 Roberts St
Camden, SC 29020-3734
Phone
(803) 432-7682
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 93330 SC Primary

Addresses

Primary practice location

1102 Roberts St
Camden, SC 29020-3734

Mailing address

PO Box 23321
New York, NY 10087-4321

Other practice location 1

325 N State Of Franklin Rd Fl 3
Johnson City, TN 37604-6171
Phone (423) 439-7201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021001766 SC Practitioner - General Surgery 5395277941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical University of South Carolina College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1102 Roberts St
Camden, SC 29020-3734
Phone (803) 432-7682

Hospital & facility affiliations

  • Kershawhealth Hospital, Camden, SC, CCN 420048
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Upper gastrointestinal (GI) endoscopy for acid reflux66
Melanoma (skin cancer) excision1-10
Removal of tissue16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Surgery Current Accepting new patients
Musc Community Physicians CurrentSince Sep 20, 2024 Accepting new patients
Musc Community Physicians CurrentSince Sep 20, 2024 Accepting new patients
Medical Education Assistance Corporation Surgery PastSince Jun 15, 2008 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1102 Roberts St
Camden, SC 29020
Phone (803) 425-4337

Interoperability endpoints

  • Direct secure messaging: cgill500477@direct.musc.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1154882512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203734",
            "telephone_number": "803-432-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N State Of Franklin Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046171",
            "country_code": "US",
            "telephone_number": "423-439-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "CAMERON",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "93330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1102 Roberts St",
            "city": "Camden",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290203734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

Verify at the official NPI Registry.