Active NPI
Jacinto Camarena III, MD
- Vascular & Interventional Radiology Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 73109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auc Urologists LLC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia PC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, PC | Current | 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
- 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.
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Urology Physician
- Conway, SC
- NPI 1780454017
-
- Vascular & Interventional Radiology Physician
- Alpharetta, GA
- NPI 1720952336
-
- Urology Physician
- Canton, GA
- NPI 1942820576
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.