NPIMap

Individual provider Active NPI

Cameron Michael Bergin, PA

  • Surgical Physician Assistant
  • Gainesville, GA
National Provider Identifier
1609829274
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10445 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-9000
NPI assigned
May 17, 2006
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3116 GA
Surgical Physician Assistant 363AS0400X PA1847 NV
Surgical Physician Assistant 363AS0400X 10445 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

242 King Avenue
Suite 150
Athens, GA 30606
Phone (706) 475-1870

Other practice location 2

9990 Double R Blvd Ste 200
Reno, NV 89521-4833
Phone (753) 488-8007

Other identifiers 1

IdentifierTypeStateIssuer
1609829274MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbergin242993@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080325000172 NC Practitioner - Physician Assistant 3577534833 Reassigns benefits to 1 organization
I20210730001137 GA Practitioner - Physician Assistant 3577534833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Spine and Neurosurgery LLCGroup PAC ID 1355754631, 9 clinicians

Practice addresses (Care Compare)

426 Exchange Blvd
Suite 500
Bethlehem, GA 30620-1797
Phone 6782500880302

454 Satellite Blvd NW
Suwanee, GA 30024-7191

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3116GAMDProfessional Counselor
10445GAMDSurgical Physician Assistant
PA1847NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Dec 2, 2013 Accepting new patients
Northeast Georgia Physicians Group Inc Physician Assistant CurrentSince Jan 26, 2026 Accepting new patients
Caromont Medical Group Inc CurrentSince Dec 2, 2013 Accepting new patients
Singh Surgical Associates PC PastSince Jan 29, 2003 Accepting new patients
Wren Emergency Physicians Past Accepting new patients
York Emergency Physicians Past Accepting new patients
South Carolina Em-I Medical Services, PC Past Accepting new patients
Emergency Physician Specialists Inc Past Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

2555 Court Dr
Ste 460
Gastonia, NC 28054
Phone (704) 852-3888

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

520 N DeKalb St
Ste C
Shelby, NC 28150
Phone (704) 834-3278

Interoperability endpoints

  • Direct secure messaging: cameron.bergin.1@29469.direct.athenahealth.com
  • Direct secure messaging: cameron.berginpa.p46@direct.newportmed.nextgenshare.com

Organizations & group practices 10

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1609829274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 King Avenue",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "30606",
            "country_code": "US",
            "telephone_number": "706-475-1870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9990 Double R Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895214833",
            "country_code": "US",
            "telephone_number": "753-488-8007",
            "fax_number": "775-348-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "3116",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA1847",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "10445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609829274",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbergin242993@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.