Individual provider Active NPI

Camilla Elizabeth Helton, PA

  • Physician Assistant
  • Clemmons, NC
National Provider Identifier
1922070747
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0001-03063 Issued in NC
Practice address
7114 Village Medical Cir
Clemmons, NC 27012-8004
Phone
(336) 893-2440
Fax
(336) 893-2470
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0001-03063 NC Primary

Addresses

Primary practice location

7114 Village Medical Cir
Clemmons, NC 27012-8004

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 893-2440

Other practice location 1

1372 Westgate Center Dr
Winston Salem, NC 27103-2932
Phone (336) 659-4814

Other identifiers 4

IdentifierTypeStateIssuer
NC5260AOtherNCMEDICARE PTAN
2753007AOtherNCMEDICARE PTAN
NC5260BOtherNCMEDICARE PTAN
1285682310OtherNCWSCA GRP NPI #

Other names 1

  • Camilla E. Hales Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chelton16577@direct.novanthealth.org
Direct Messaging Address chelton16577@direct.novanthealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20050217000635 NC Practitioner - Physician Assistant 7012969074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

291 Broad St
Kernersville, NC 27284-2932
Phone (336) 993-8181

6301 Stadium Dr
Clemmons, NC 27012-8766
Phone (336) 766-6473

694 Riverside Dr
Mount Airy, NC 27030-3117
Phone (336) 719-7892

7114 Village Medical Cir
Clemmons, NC 27012-8004
Phone (336) 893-2440

7130 Village Medical Cir
Clemmons, NC 27012-8004
Phone (336) 893-2420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0001-03063NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Jan 1, 2012 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 7, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 7, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

7114 Village Medical Cir
Clemmons, NC 27012
Phone (336) 893-2440

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

216 Moore Rd
King, NC 27021
Phone (336) 768-1270

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: chelton16577@direct.novanthealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1922070747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-893-2440",
            "fax_number": "336-893-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 VILLAGE MEDICAL CIR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128004",
            "telephone_number": "336-893-2440",
            "fax_number": "336-893-2470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1372 Westgate Center Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032932",
            "country_code": "US",
            "telephone_number": "336-659-4814",
            "fax_number": "336-768-4745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELTON",
        "first_name": "CAMILLA",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0001-03063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC5260A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2753007A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC5260B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WSCA GRP NPI #",
            "identifier": "1285682310",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelton16577@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1372 Westgate Center Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271032932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelton16577@direct.novanthealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7114 Village Medical Cir",
            "city": "Clemmons",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270128004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAMILLA",
            "last_name": "HALES",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.