NPIMap

Organization Active NPI

Camp Creek Primary Care, PC

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1861503906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043019 Issued in GA
Legal business name
CAMP CREEK PRIMARY CARE, PC
Practice address
3890 Redwine Rd SW
Suite 100
Atlanta, GA 30331-5509
Phone
(404) 349-2273
Fax
(404) 349-1511
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisa B. Green-Clopton, JD
Title
Cfo/ Business Manager
Phone
(404) 349-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 043019 GA Primary

Addresses

Primary practice location

3890 Redwine Rd SW
Suite 100
Atlanta, GA 30331-5509

Mailing address

PO Box 90237
East Point, GA 30364-0237
Phone (404) 349-2273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861503906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90237",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303640237",
            "telephone_number": "404-349-2273",
            "fax_number": "404-349-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-349-2273",
            "fax_number": "404-349-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CREEK PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN-CLOPTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO/ BUSINESS MANAGER",
        "authorized_official_telephone_number": "404-349-2273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.