Cameron Marie Allen, PA-C
Individual provider Active NPI Physician Assistant · Decatur, GA
NPI 1982180956 · NPPES record last updated Aug 3, 2018
Key facts
- NPI
- 1982180956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 008882 (GA)
- Practice address
- 2701 N Decatur Rd
Decatur, GA 30033 - Phone
- (404) 501-1000
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180915000078 | GA | Practitioner - Physician Assistant | 7113278037 | Reassigns benefits to 2 organizations |
| I20240123002759 | TN | Practitioner - Physician Assistant | 7113278037 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008882 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Interoperability endpoints
- carmeron.allen@dekalbep.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008882 | GA | Yes |
Addresses
Primary practice location
2701 N Decatur Rd
Decatur, GA 30033
Mailing address
2701 N Decatur Rd
Decatur, GA 30033-5918
Other providers in Decatur, GA
- All Things Consulting, Inc
- Joanne Shirine H. Allam
- Allegiance Diagnostic Centers of Georgia, LLC
- Allegiance Diagnostic Centers, LLC
- Allegiant Service LLC
- Denise Allen
- James Michael Allen
- Janel Allen
- Kimberly Allen
- Michelle Allen
All providers in Decatur, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.