Camelia Eaddy

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN212698 Issued in GA

Practice address

490 Kathwood Dr
Athens, GA 30607-1132

Phone

(706) 355-7400

NPI assigned

Nov 3, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: camelia.eaddy.1@20067.direct.athenahealth.com

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1174396899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 SEVER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434015",
            "telephone_number": "678-242-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 KATHWOOD DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071132",
            "telephone_number": "706-355-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Winston Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071123",
            "country_code": "US",
            "telephone_number": "706-549-6013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062140",
            "country_code": "US",
            "telephone_number": "706-549-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EADDY",
        "first_name": "CAMELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN212698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Dye, RN
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• Kimberly Dykes
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• Thomas Eades, PHARMD
• Patrick Bryon Eagleson, MD
• Margaret M. Earnest, RD
• East Athens Family Vision, LLC
• East Athens Physical Therapy Inc

• Family Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.