Individual provider Active NPI

Andres Felipe Camacho-Gonzalez, MD

  • Pediatric Infectious Diseases Physician
  • Atlanta, GA
National Provider Identifier
1174735526
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
061217 Issued in GA
Practice address
1405 Clifton Rd NE
Emory Children Center Suite 500
Atlanta, GA 30322-1060
Phone
(404) 727-5642
NPI assigned
May 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 061217 GA Primary

Addresses

Primary practice location

1405 Clifton Rd NE
Emory Children Center Suite 500
Atlanta, GA 30322-1060

Mailing address

1514 Sheridan Road
Apt. 1510
Atlanta, GA 30324
Phone (215) 834-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000277 GA Practitioner - Pediatric MedicinePractitioner - Infectious Disease 8820276579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choa Hospital Based, LLC Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2011 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2011 Accepting new patients
Choa Multispecialty, LLC Pediatric Infectious Diseases CurrentSince Jul 1, 2013 Accepting new patients
Egleston Pediatric Group Current Accepting new patients
The Emory Clinic Pediatric Providers Past Accepting new patients
Emory Childrens Center Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440

2015 Upper Gate Dr NE
Atlanta, GA 30322
Phone (404) 778-2400

1405 Clifton Rd NE
Ste 500
Atlanta, GA 30322
Phone (404) 727-5642

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1174735526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SHERIDAN ROAD",
            "address_2": "APT. 1510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30324",
            "telephone_number": "215-834-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CLIFTON RD NE",
            "address_2": "EMORY CHILDREN CENTER SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221060",
            "telephone_number": "404-727-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-GONZALEZ",
        "first_name": "ANDRES",
        "middle_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "GA",
            "license": "061217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.