Kamela Manantan Camon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

101589 Issued in GA

Practice address

406 Northside Dr Ste M
Valdosta, GA 31602-1853

Phone

(229) 241-0059

NPI assigned

Mar 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kamela.daos.1@10369.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10369/brand/1/csg/1/fhir/r4

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

• Southern Pediatric Clinic, LLC

  • Pediatrics Physician
  • Valdosta, GA
  • NPI 1982858767
  NPD (past)

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1477084267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 NORTHSIDE DR STE M",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021853",
            "telephone_number": "292-241-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 NORTHSIDE DR STE M",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021853",
            "telephone_number": "229-241-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMON",
        "first_name": "KAMELA",
        "middle_name": "MANANTAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME144622",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "101589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105830900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C Heather Colson DMD PC
• Ikea Sharnay Calhoun
• Latosha Y Callaway
• Bennie Elgin Calloway III, D.MIN, DRE, LCPC
• Madison Nora Cameron, PTA
• James Harrison Campagna, M.D.
• Brittany Cangelosi, CCC-SLP
• Michael Caoile, FNP
• Bessie R Caquelard, SLP
• Care Medical Center LLC

• Pediatrics Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.