Active NPI
Damian L. Camack
- Contractor
- Greensboro, NC
National Provider Identifier
1346839289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 10 Creekstone CT
Greensboro, NC 27407-5862 - Phone
- (336) 392-8093
- NPI assigned
- Jan 14, 2021
- Last updated
- May 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Transportation Broker | 347E00000X | |||
| Adult Companion | 372600000X | |||
| Contractor | 171W00000X | Primary | ||
| Driver | 172A00000X |
Addresses
Primary practice location
10 Creekstone CT
Greensboro, NC 27407-5862
Mailing address
10 Creekstone CT
Greensboro, NC 27407-5862
Phone (336) 392-8093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1346839289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CREEKSTONE CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274075862",
"telephone_number": "336-392-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CREEKSTONE CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274075862",
"telephone_number": "336-392-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACK",
"first_name": "DAMIAN",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-14",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Julie Callicutt, M.ED., E.I., ITFS
- Johnice Calliste-Batholomew
- Gregory Calone, MSN, FNP-C
- Calso Physical Therapy LLC
- Maria Carr Camacho, CF-SLP
- Rachel Camaligan, DPT
- Cambridge Homecare Agency LLC
- Camden Health and Rehabilitation, LLC (Camden Health and Rehabilitation)
- Camden Place Health and Rehab, LLC.
- Cameron Court, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.