Active NPI
Camille Aidan McPherson, M.D.
- Obstetrics & Gynecology Physician
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 059003
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York Medical College, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 218349 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Center of Athens | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Watkinsville, GA
- NPI 1790853489
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.