Camp Creek Women'S Health Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

055205 Issued in GA

Legal business name

CAMP CREEK WOMEN'S HEALTH CENTER

Practice address

1136 Cleveland Ave
Suite 300
East Point, GA 30344-3618

Phone

(404) 344-2229

NPI assigned

Mar 3, 2011

Organization subpart

Yes

Parent organization

CAMP CREEK WOMEN'S HEALTH CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Kevin J Edmonds

Title

Owner/Medical Director

Phone

(404) 344-2229

Specialties & licenses 1

Addresses

Tax ID family

Camp Creek Women'S Health Center LLC2 organizations share this tax ID, including this one

Part of

Camp Creek Women'S Health Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Camp Creek Women'S Health Center

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1518279587
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Camp Creek Women'S Health Center, LLC

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1548596588
  NPPES parent name

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1831497619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW",
            "address_2": "SUITE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315589",
            "telephone_number": "404-344-2229",
            "fax_number": "404-574-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 300",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-344-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CREEK WOMEN'S HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMP CREEK WOMEN'S HEALTH CENTER, LLC",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-344-2229",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "055205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camelot House Incorporated
• Jazmond Cameron
• Camp Creek Adent, LLC
• Camp Creek Aim, LLC
• Camp Creek Expresscare, LLC
• Claudia Victoria Cano Johnson, N.P.
• Careamid Services
• Carlsbad Dialysis LLC
• Kitty B Carter-Wicker, MD
• Joy Carter

• Obstetrics & Gynecology Physician in East Point, GA
• Providers in East Point, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.