Camp Creek Women'S Health Specialist

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

55205 Issued in GA

Legal business name

CAMP CREEK WOMEN'S HEALTH SPECIALIST

Practice address

3890 Redwine Rd SW Ste 106
Atlanta, GA 30331-5509

Phone

(404) 344-2229

Fax

(404) 574-6715

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Jermaine Edmonds, M.D.NPI 1245209139

Title

Medical Director/ Ceo

Phone

(404) 344-2229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Jermaine Edmonds, M.D.

  • Obstetrics & Gynecology Physician
  • Stockbridge, GA
  • NPI 1245209139
  NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255354122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-344-2229",
            "fax_number": "404-574-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-344-2229",
            "fax_number": "404-574-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CREEK WOMEN'S HEALTH SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ CEO",
        "authorized_official_telephone_number": "404-344-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "55205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camp Creek Smiles Family Dentistry
• Camp Creek Urgent Care LLC
• Camp Creek Village Pharmacy Inc.
• Camp Creek Women'S Health Center
• Camp Creek Women'S Health Center, LLC
• Christina Marie Camp, PHD
• Mary Helen Froistad Camp
• Katharine Elaine Campagna, PT, DPT, OCS
• Elizabeth Lenzner Campanella, ATC
• Gloria Campbell-D'Hue, MD

• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.