Individual provider Active NPI

Ivie Cameron

  • Physical Therapist
  • Bethlehem, GA
National Provider Identifier
1982552584
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018212 Issued in GA
Practice address
380 Exchange Blvd Ste 103
Bethlehem, GA 30620-1853
Phone
(678) 218-9203
NPI assigned
Mar 19, 2026
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018212 GA Primary

Addresses

Primary practice location

380 Exchange Blvd Ste 103
Bethlehem, GA 30620-1853

Mailing address

380 Exchange Blvd Ste 103
Bethlehem, GA 30620-1853

Other practice location 1

960 Lee St Ste 205
Jefferson, GA 30549-6334
Phone (706) 708-0001

Other practice location 2

2151 Homer Rd Ste 120
Commerce, GA 30529-1399
Phone (706) 708-1588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260615003592 GA Practitioner - Physical Therapist in Private Practice 8628540226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 629
Mauldin, SC 29662

PO Box
Suite 629
Mauldin, SC 29662-0629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018212GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Sep 22, 2025 Accepting new patients
Atlanta Rehabilitation and Performance Center PastSince Mar 23, 2026 Accepting new patients

Locations

380 Exchange Blvd
Ste 103
Bethlehem, GA 30620
Phone (678) 218-9203

2151 Homer Rd
Ste 120
Commerce, GA 30529
Phone (706) 708-1588

960 Lee St
Ste 205
Jefferson, GA 30549
Phone (706) 708-0001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1982552584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 EXCHANGE BLVD STE 103",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 EXCHANGE BLVD STE 103",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201853",
            "telephone_number": "678-218-9203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Lee St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "GA",
            "postal_code": "305496334",
            "country_code": "US",
            "telephone_number": "706-708-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 Homer Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "GA",
            "postal_code": "305291399",
            "country_code": "US",
            "telephone_number": "706-708-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "IVIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.