Andrew Harrison Camp, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015894 Issued in GA

Practice address

4200 Columbia Rd
Martinez, GA 30907-1430

Phone

(706) 868-1322

NPI assigned

Jun 24, 2019

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Augusta Smilecare PC

  • General Practice Dentistry
  • Martinez, GA
  • NPI 1518407907
  NPD (past)
• Patriots Park Dental

  • General Practice Dentistry
  • Grovetown, GA
  • NPI 1689002610
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1245891076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 POINTEWEST DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 COLUMBIA RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071430",
            "telephone_number": "706-868-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2054 Warrior Way",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "30813",
            "country_code": "US",
            "telephone_number": "706-664-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP",
        "first_name": "ANDREW",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ndya Burden
• Ruvenia S Burnett
• Noemi Burns, LMT
• Romagne Burton
• Latonya Byrd
• Marcus Lee Campbell, LPC, PH.D.
• Rebecca R Carey, NCTMB, LMT
• Kimberly Carrano
• Cheryl Ann Carswell, MS, LPC
• Donna Latoya Carter, PHARM.D

• General Practice Dentistry in Martinez, GA
• Providers in Martinez, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.