Kevin Patrick Camps, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

186099 Issued in GA

Practice address

5 Mall Anx
Savannah, GA 31406-4738

Phone

(912) 495-8887

NPI assigned

Jul 7, 2022

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J.C. Lewis Primary Healthcare Center, IncGroup PAC ID 8426203225, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.camps.1@23600.direct.athenahealth.com

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.

• J.C. Lewis Primary Healthcare Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Savannah, GA
  • NPI 1922301472
  Medicare reassignment Care Compare group NPD
• J C Lewis Primary Health Care Center

  • Pharmacy
  • Savannah, GA
  • NPI 1508453994
  NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1912630849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MALL ANX",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064738",
            "telephone_number": "419-902-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MALL ANX",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064738",
            "telephone_number": "912-495-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 Dean Forest Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314059364",
            "country_code": "US",
            "telephone_number": "912-964-1531",
            "fax_number": "912-964-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPS",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "186099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Campbell, M.D.
• Campen Dermatology, LLC
• Campen Eye Care LLC
• Rebecca B Campen, MD
• Marc Campolo, PT
• Cancer Care Pavilion Inc (Nancy N. and J.C. Lewis Cancer and Research Pavilion)
• Cancer Care Pavilion, Inc. (Lewis Cancer and Research Paviliion)
• Candler ENT Practice, LLC (Savannah ENT Specialist)
• Candler Hospital Incorporated
• Candler Hospital Incorporated

• Family Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.