Individual provider Active NPI

Daniel Paul Decamp, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1437181112
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01030702 Issued in IN
Practice address
14089 Abercorn St
Savannah, GA 31419-1966
Phone
(912) 350-2121
Fax
(912) 350-2145
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01030702 IN Primary

Addresses

Primary practice location

14089 Abercorn St
Savannah, GA 31419-1966

Mailing address

14089 Abercorn St
Savannah, GA 31419-1966
Phone (912) 350-2121

Other identifiers 1

IdentifierTypeStateIssuer
200212880MedicaidIN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01030702INMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1437181112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14089 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191966",
            "telephone_number": "912-350-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14089 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191966",
            "telephone_number": "912-350-2121",
            "fax_number": "912-350-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAMP",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01030702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200212880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.