Cameron Caldwell Kersey, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

00025498 Issued in AL

Practice address

717 20TH St
Columbus, GA 31904-8920

Phone

(706) 653-0292

Fax

(706) 653-1230

NPI assigned

Feb 27, 2007

Last updated

Jun 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL, GA2 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 2

Specialty

Diagnostic Radiology

Education

Mercer University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Hughston Medical Group, PCGroup PAC ID 7810320959, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
• St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cameron.kersey.1@321.direct.athenahealth.com
• Direct secure messaging: ckersey@yourcarecommunity.org
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hughston Medical Group, PC

  • Otolaryngology Physician
  • Columbus, GA
  • NPI 1962964833

  AL, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190

  AL

  Medicare reassignment Care Compare group
• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381
  Medicare reassignment NPD
• Georgia Radiology Services, LLC

  • Diagnostic Radiology Physician
  • Lagrange, GA
  • NPI 1124256540
  Medicare reassignment NPD
• The Emory Clinic Inc.

  dba Emory Aesthetic Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1023359627
  Medicare reassignment NPD
• West Georgia Medical Center, Inc.

  dba WellStar West Georgia Medical Center

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  Medicare reassignment NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739
  NPD
• Hughston Medical Group, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1346026788
  NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  Diagnostic Radiology

  NPD
• West Georgia Medical Center Inc

  dba West Georgia Durable Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Lagrange, GA
  • NPI 1134588411
  NPD
• St. Francis Radiologists, LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1235306648
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Francis Health LLC

  dba St Francis Hospital

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  Care Compare affiliation
• The Medical Center Inc

  dba Piedmont Columbus Regional Midtown

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation
• Russell County Community Hospital LLC

  dba Jack Hughston Memorial Hospital

  • General Acute Care Hospital
  • Phenix City, AL
  • NPI 1023050101
  Care Compare affiliation

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1902933229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 20TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048920",
            "telephone_number": "706-653-0292",
            "fax_number": "706-653-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "CAMERON",
        "middle_name": "CALDWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00025498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00882624",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793905377J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis J Kennedy, PHARM.D.
• Kenneth B Walker Residential Home Inc
• Wendy Hawkins Kennon, AA
• Samantha Kent, SLP
• Yolanda Kent, FNP
• Latia Kersey, RN
• Anna Grace Key, DPT
• Sequoyah Keys
• Matthew Khaleghi
• Ambreen Khan, MD

• Diagnostic Radiology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.

Verify at the official NPI Registry.