Individual provider Active NPI

Jutta Lynn Cameron

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1790100063
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022113 Issued in NC
Practice address
6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Phone
(704) 316-2557
Fax
(704) 316-2558
NPI assigned
Feb 24, 2014
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 18676 SC
Women's Health Clinical Nurse Specialist 364SW0102X 9201403 FL
Nurse Practitioner 363L00000X 5022113 NC Primary

Addresses

Primary practice location

6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286

Mailing address

PO Box 604136
Charlotte, NC 28260-4136

Other practice location 1

1131 Saluda St
Rock Hill, SC 29730-5776
Phone (803) 325-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141104001889 SC Practitioner - Nurse Practitioner 6800018078 Reassigns benefits to 1 organization
I20250527003740 NC Practitioner - Nurse Practitioner 6800018078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NMG Health Services LLCGroup PAC ID 4789057753, 40 clinicians

Practice addresses (Care Compare)

6331 Carmel Rd
Suite 102
Charlotte, NC 28226-8286
Phone (704) 316-2557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9201403FLMDWomen's Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services, LLC CurrentSince Apr 19, 2025 Accepting new patients
Community Medicine Foundation CurrentSince Apr 11, 2016 Accepting new patients
NMG Health Services LLC CurrentSince Apr 19, 2025 Accepting new patients
NMG Health Services, LLC Past Accepting new patients

Locations

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

1131 Saluda St
Rock Hill, SC 29730
Phone (803) 325-7744

Interoperability endpoints

  • Direct secure messaging: jcameron1683393@direct.novanthealth.org
  • Direct secure messaging: jutta.cameron.p1@direct.ncfmc.nextgenshare.com

Organizations & group practices 5

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1790100063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 CARMEL RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268286",
            "telephone_number": "704-316-2557",
            "fax_number": "704-316-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Saluda St",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297305776",
            "country_code": "US",
            "telephone_number": "803-325-7744",
            "fax_number": "803-325-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "JUTTA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "18676",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "FL",
            "license": "9201403",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.