Individual provider Active NPI

Camille Aidan McPherson, M.D.

  • Obstetrics & Gynecology Physician
  • Watkinsville, GA
National Provider Identifier
1932320702
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
059003 Issued in GA
Practice address
1181 Langford Dr
BLDG 300-101
Watkinsville, GA 30677-7242
Phone
(706) 227-8999
Fax
(706) 227-6118
NPI assigned
May 1, 2007
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 218349 MA
Obstetrics & Gynecology Physician 207V00000X 059003 GA Primary

Addresses

Primary practice location

1181 Langford Dr
BLDG 300-101
Watkinsville, GA 30677-7242

Mailing address

1020 Willow RDG
Athens, GA 30606-7618
Phone (706) 621-9317

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080418000242 GA Practitioner - Obstetrics/Gynecology 4981781408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Women's Center of AthensGroup PAC ID 8325007115, 3 clinicians

Practice addresses (Care Compare)

1181 Langford Dr
Watkinsville, GA 30677-7242

1181 Langford Dr
BLDG 300 101
Watkinsville, GA 30677-7305
Phone (706) 227-8999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218349MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Center of Athens Obstetrics & Gynecology CurrentSince May 23, 2010 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. Past Accepting new patients
St. Mary's Hospital, Inc. Past Accepting new patients

Locations

1181 Langford Dr
Bldg 300-101
Watkinsville, GA 30677
Phone (706) 227-8999

1181 Langford Dr
Bldg 300101
Watkinsville, GA 30677
Phone (706) 227-8999

Interoperability endpoints

  • Direct secure messaging: cmcpherson2018447@direct.trinity-health.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1932320702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WILLOW RDG",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067618",
            "telephone_number": "706-621-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BLDG 300-101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777242",
            "telephone_number": "706-227-8999",
            "fax_number": "706-227-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "CAMILLE",
        "middle_name": "AIDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "218349",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "059003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.