Cameron Jaymar Stallworth, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8033 Issued in MS

Practice address

2781 C T Switzer Sr Dr Ste 404
Biloxi, MS 39531-4535

Phone

(228) 205-3676

NPI assigned

Jul 21, 2025

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1629950860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803A HIGHWAY 39",
            "city": "DALEVILLE",
            "state": "MS",
            "postal_code": "393269607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 C T SWITZER SR DR STE 404",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314535",
            "telephone_number": "228-205-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "CAMERON",
        "middle_name": "JAYMAR",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "8033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Hughes Squyres, LCSW
• Victoria St Philip
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• St. Vincent de Paul Community Pharmacy, Inc.
• Hailey Stabinsky, PHARMD
• Gordon Lee Stanfield, PH.D.
• Jeanne Annette Stangle, M.D.
• Brooke Stanley
• Jeana Stanley, DPT
• Nathan Paul Stanley, FNP-C

• Physical Therapy Assistant in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.