Kipp Allen Vancamp, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

103575 Issued in GA

Practice address

604 Lovejoy LN Ste 100
Woodstock, GA 30189-3634

Phone

(770) 268-4336

Fax

(470) 251-6063

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in KS, GA, MO, MT4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians

University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048
• University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102
• Sidney Health Center Hospital, Sidney, MT, CCN 271344

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  Medicare reassignment Care Compare group NPD
• Aylo Health, LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1013018811
  Medicare reassignment NPD
• Colorado Imaging Associates P C

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1255306726

  KS

  Medicare reassignment NPD
• Hays Medical Center, Inc.

  • Interventional Cardiology Physician
  • Hays, KS
  • NPI 1770618258
  Medicare reassignment NPD
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Medicare reassignment NPD
• Sidney Health Center

  • Clinic/Center
  • Sidney, MT
  • NPI 1376617191
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS

  Medicare reassignment NPD
• Aylo Health, LLC

  • Diagnostic Radiology Physician
  • Locust Grove, GA
  • NPI 1194433219
  NPD
• Hays Medical Center, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hays, KS
  • NPI 1073306221
  NPD
• Hays Medical Center, Inc

  • Diagnostic Radiology Physician
  • Hays, KS
  • NPI 1235833310
  NPD
• Sidney Health Center

  • Community/Retail Pharmacy
  • Sidney, MT
  • NPI 1497743959
  NPD
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)

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

• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Care Compare affiliation
• Truman Medical Center, Incorporated

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1376686600
  Care Compare affiliation
• Truman Medical Center, Incorporated

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1467595793
  Care Compare affiliation

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1164460655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RIVERWOOD PKWY SE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393304",
            "telephone_number": "770-914-0116",
            "fax_number": "770-955-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LOVEJOY LN STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893634",
            "telephone_number": "770-268-4336",
            "fax_number": "470-251-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22740 Midland Dr",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662263553",
            "country_code": "US",
            "telephone_number": "913-745-5300",
            "fax_number": "913-745-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCAMP",
        "first_name": "KIPP",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0525311",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "103575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "106163",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "104991",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP DG5299",
            "identifier": "P00440177",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234960F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "18484065",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00477479",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002234960H",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS MEDICARE",
            "identifier": "KA1066001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.

Verify at the official NPI Registry.