Camp Creek LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CAMP CREEK LLC

Practice address

3885 Princeton Lakes Way SW
Ste 400
Atlanta, GA 30331-5589

Phone

(404) 344-6575

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

INTERVENTIONAL SPINE AND PAIN MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Mr. Stephen Rosenbaum

Title

Cfo

Phone

(404) 920-4951

Specialties & licenses 1

Addresses

Part of

Interventional Spine Pain

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Interventional Spine and Pain Management, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1275633372
  NPPES parent name

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1356685390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388A WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-929-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW",
            "address_2": "STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315589",
            "telephone_number": "404-344-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CREEK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERVENTIONAL SPINE AND PAIN MANAGEMENT",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-920-4951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Cameron
• Camille Davis-William MD PC
• Camille Davis-Williams, M.D., P.C. (Greater Atlanta Women's Healthcare)
• Martine Camille, M.D.
• Deanna Hortman Camilo, DPT
• Camp Creek Pediatrics LLC
• Camp Creek Pharmacy LLC (Camp Creek Pharmacy)
• Camp Creek Primary Care, PC
• Camp Creek Smiles
• Camp Creek Smiles Family Dentistry

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.