Individual provider Active NPI

Camille Lundi, NP-C

  • Family Nurse Practitioner
  • Locust Grove, GA
National Provider Identifier
1649611104
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP201612 Issued in GA
Practice address
4837 Bill Gardner Pkwy
Locust Grove, GA 30248-3735
Phone
(678) 800-1602
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP201612 GA
Family Nurse Practitioner 363LF0000X APRN-NP201612 GA Primary

Addresses

Primary practice location

4837 Bill Gardner Pkwy
Locust Grove, GA 30248-3735

Mailing address

4837 Bill Gardner Pkwy
Locust Grove, GA 30248-3735
Phone (678) 800-1602

Other identifiers 1

IdentifierTypeStateIssuer
003144968DMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509002109 GA Practitioner - Nurse Practitioner 4082847488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

2005 Mount Zion Rd
Morrow, GA 30260-3313
Phone (770) 919-5250

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP201612GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Apr 15, 2023 Accepting new patients
Peachtree Immediate Care UC, LLC PastSince Apr 15, 2023 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2005 Mount Zion Rd
Morrow, GA 30260
Phone (770) 919-5250

Organizations & group practices 2

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1649611104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 BILL GARDNER PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483735",
            "telephone_number": "678-800-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 BILL GARDNER PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483735",
            "telephone_number": "678-800-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDI",
        "first_name": "CAMILLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP201612",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP201612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003144968D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.