Individual provider Active NPI

Cameron John Elward, MD

  • Pediatrics Physician
  • Davis Monthan Afb, AZ
National Provider Identifier
1538627005
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
80396 Issued in AZ
Practice address
4175 S Alamo Ave # 400
Davis Monthan Afb, AZ 85707-4402
Phone
(520) 228-2778
NPI assigned
Mar 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 80396 AZ
Pediatrics Physician 208000000X 80396 AZ Primary

Addresses

Primary practice location

4175 S Alamo Ave # 400
Davis Monthan Afb, AZ 85707-4402

Mailing address

4175 S Alamo Ave
Davis Monthan Afb, AZ 85707-4402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119002791 GA Practitioner - Pediatric Medicine 2668824129 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Medical Center Inc Student in an Organized Health Care Education/Training Program CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Dec 17, 2023 Accepting new patients
Hedera Counseling Center CurrentSince Feb 9, 2025 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Dec 17, 2023 Accepting new patients

Locations

3280 Mitchell Blvd
Moody AFB, GA 31699
Phone (229) 257-2778

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1538627005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "DAVIS MONTHAN AFB",
            "state": "AZ",
            "postal_code": "857074402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE # 400",
            "city": "DAVIS MONTHAN AFB",
            "state": "AZ",
            "postal_code": "857074402",
            "telephone_number": "520-228-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWARD",
        "first_name": "CAMERON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "80396",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "80396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis Monthan Afb, AZ

Sources for this page

Verify at the official NPI Registry.