Active NPI
Johnny Cameron Jr., SURGICAL ASSIST-CERT
- Surgical Assistant
- Nashville, TN
National Provider Identifier
1871933358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 99-222
- Practice address
- 2000 Church St
Nashville, TN 37236-0001 - Phone
- (615) 284-5215
- Fax
- (615) 284-4914
- NPI assigned
- Jun 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 99-222 | TN | Primary |
Addresses
Primary practice location
2000 Church St
Nashville, TN 37236-0001
Mailing address
3417 Lebanon Pike Apt B313
Hermitage, TN 37076-5026
Phone (615) 428-9889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24 | Other | TN | SURGICAL FIRST ASSISTANT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99-222 | TN | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1871933358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 LEBANON PIKE APT B313",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370765026",
"telephone_number": "615-428-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CHURCH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372360001",
"telephone_number": "615-284-5215",
"fax_number": "615-284-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "JOHNNY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "SURGICAL ASSIST-CERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TN",
"license": "99-222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SURGICAL FIRST ASSISTANT",
"identifier": "24",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.