Camille Patrice McLean, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2015-00102 Issued in NC

Practice address

2347 New Haven PL
Conyers, GA 30094-3358

Phone

(718) 614-8573

NPI assigned

Apr 14, 2011

Last updated

Apr 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1528358280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 NEW HAVEN PL",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943358",
            "telephone_number": "718-614-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 NEW HAVEN PL",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943358",
            "telephone_number": "718-614-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "CAMILLE",
        "middle_name": "PATRICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-00102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria McIver
• Megan Jean McKee, M.D.
• Camille McKenzie
• Kemberly Elaine McKenzie, APC
• Sophia McKenzie
• Juan Nicolas McLean, MD
• Heike McMillan, LPC
• Sukari J McMiller, DDS
• McMurray Enterprises Inc. Dba Care Solutions
• Jacquelyn McNeal, DAHM, LAC, DIPL. OM

• Internal Medicine Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.