Individual provider Active NPI

Karine Erica Cameron Hutchinson, APRN

  • Acute Care Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1669071668
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN324933 Issued in GA
Practice address
250 Village Center Pkwy Ste 100
Stockbridge, GA 30281-9104
Phone
(678) 289-0508
NPI assigned
Oct 21, 2020
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11008879 FL
Acute Care Nurse Practitioner 363LA2100X RN324933 GA Primary

Addresses

Primary practice location

250 Village Center Pkwy Ste 100
Stockbridge, GA 30281-9104

Mailing address

259 Orchid Dr
McDonough, GA 30252-8972
Phone (432) 230-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11008879FLMDAcute Care Nurse Practitioner
RN324933GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Crescent Nephrology, PC CurrentSince Aug 4, 2024 Accepting new patients

Locations

250 Village Center Pkwy
Ste 100
Stockbridge, GA 30281
Phone (678) 289-0508

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHAAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1669071668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 ORCHID DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528972",
            "telephone_number": "432-230-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 VILLAGE CENTER PKWY STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819104",
            "telephone_number": "678-289-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON HUTCHINSON",
        "first_name": "KARINE",
        "middle_name": "ERICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11008879",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN324933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.