Individual provider Active NPI

Jacinto Camarena III, MD

  • Vascular & Interventional Radiology Physician
  • Decatur, GA
National Provider Identifier
1790791804
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
73109 Issued in GA
Practice address
2711 Irvin Way Suite 102
Decatur, GA 30030-5405
Phone
(678) 344-8900
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 73109 GA Primary

Addresses

Primary practice location

2711 Irvin Way Suite 102
Decatur, GA 30030-5405

Mailing address

345 W Steamboat Dr Ste 601
Dakota Dunes, SD 57049-5287
Phone (605) 217-5617

Other practice location 1

5315 Flynn Crossing Drive
Alpharetta, GA 30005-1796
Phone (678) 344-8900

Other practice location 2

2711 Irvin Way Suite 101
Decatur, GA 30030-5405
Phone (678) 344-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, GA, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230525000559 IA Practitioner - Vascular SurgeryPractitioner - Interventional Radiology 6709054109
I20250205003449 GA Practitioner - Interventional Radiology 6709054109 Reassigns benefits to 2 organizations
I20250508001578 SC Practitioner - Interventional Radiology 6709054109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Howard University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology Institute of GeorgiaGroup PAC ID 1759552607, 57 clinicians
Auc Urologists LLCGroup PAC ID 3375986953, 29 clinicians

Practice addresses (Care Compare)

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

2711 Irvin Way
Decatur, GA 30030-5405
Phone (678) 344-8900

5315 Flynn Crossing Dr
Alpharetta, GA 30005-1796
Phone (678) 344-8900

827 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 347-2450

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Auc Urologists LLC CurrentSince Jun 1, 2025 Accepting new patients
Advanced Urology Institute of Georgia Current Accepting new patients
Advanced Urology Institute of Georgia PC CurrentSince Feb 1, 2025 Accepting new patients
Advanced Urology Institute of Georgia, PC CurrentSince Feb 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

5315 Flynn Crossing Dr
Alpharetta, GA 30005

2711 Irvin Way
Ste 101
Decatur, GA 30030

2711 Irvin Way
Ste 102
Decatur, GA 30030

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1551 Janmar Rd
Snellville, GA 30078

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8765

827 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 286-2020

611 Burroughs and Chapin Blvd
Ste 105
Myrtle Beach, SC 29577

Interoperability endpoints

  • Direct secure messaging: jcamarena979797@direct.unitypoint.org

Organizations & group practices 6

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1790791804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W STEAMBOAT DR STE 601",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495287",
            "telephone_number": "605-217-5617",
            "fax_number": "605-217-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 IRVIN WAY SUITE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305405",
            "telephone_number": "678-344-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5315 Flynn Crossing Drive",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300051796",
            "country_code": "US",
            "telephone_number": "678-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2711 Irvin Way Suite 101",
            "address_purpose": "LOCATION",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305405",
            "country_code": "US",
            "telephone_number": "678-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARENA",
        "first_name": "JACINTO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "73109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.