CAMP CREEK PEDIATRICS LLC
NPI 1922269612
Clinic/Center - Medical Specialty in Atlanta, GA

NPI Status: Active since June 24, 2008

Contact Information

3890 REDWINE RD SW
SUITE 100
ATLANTA, GA
ZIP 30331
Phone: (404) 349-2273

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  • Organization
  • Clinic/Center
  • Medical Specialty

About CAMP CREEK PEDIATRICS LLC

This page provides the complete NPI Profile along with additional information for Camp Creek Pediatrics Llc, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1922269612 assigned on June 2008. The practitioner's primary taxonomy code is 261QM2500X with license number 049655 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Charlene Johnson-brown (Physician)

NPI
1922269612
Provider Name
CAMP CREEK PEDIATRICS LLC
Entity Type
Organization
Location Address
3890 REDWINE RD SW SUITE 100 ATLANTA, GA 30331
Location Phone
(404) 349-2273
Mailing Address
1415 HIGHWAY 85 N SUITE 310-246 FAYETTEVILLE, GA 30214
Mailing Phone
(404) 349-2273
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2008
Last Update Date
06-24-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
049655
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHARLENE JOHNSON-BROWN

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(404) 349-2273

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922269612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942461862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 4 + 6 + 1 + 8 + 6 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1922269612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952360265 ERICKA M EDMONDS DDS
Individual
Dentist (General Practice)3890 REDWINE RD SW SUITE 108
ATLANTA, GA 30331
(404) 344-7645
1528088085DR. DANA M HARRIS-ECHOLS D.D.S.
Individual
Dentist (General Practice)3890 REDWINE RD SW SUITE 206
ATLANTA, GA 30331
(404) 349-7900
1881600906DR. BARBARA A BRUCE MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)3890 REDWINE RD SW SUITE 104
ATLANTA, GA 30331
(404) 629-4740
1689728685ATLANTA WOMEN'S MEDICAL CTR., INC
Organization
Obstetrics & Gynecology3890 REDWINE RD SW SUITE 210
ATLANTA, GA 30331
(404) 346-3417
1538299474MR. KURT ANTHONY MCDONALD PT
Individual
Physical Therapist (Orthopedic)3890 REDWINE RD SW SUITE 114
ATLANTA, GA 30331
(404) 344-7880
1861600520GENESIS SPORTS MEDICINE AND REHABILITATION, LLC
Organization
Clinic/Center (Physical Therapy)3890 REDWINE RD SW
ATLANTA, GA 30331
(404) 344-7880
1700072485PREMIER EYE PHYSICIANS PC
Organization
Clinic/Center (Health Service)3890 REDWINE RD SW SUITE 212
ATLANTA, GA 30331
(404) 349-1115
1770811713CAMP CREEK SMILES FAMILY DENTISTRY
Organization
Clinic/Center (Dental)3890 REDWINE RD SW STE 108
ATLANTA, GA 30331
(404) 344-7645
1184939456ACCIDENT CENTERS OF ATLANTA, LLC
Organization
Durable Medical Equipment & Medical Supplies3890 REDWINE RD SW SUITE 200
ATLANTA, GA 30331
(678) 904-3172
1598072910MR. WILLIS C JENKINS PTA
Individual
Physical Therapy Assistant3890 REDWINE RD SW SUITE 114
ATLANTA, GA 30331
(404) 344-7880
1487957924PINNACLE DIAGNOSTIC AND DME SERVICES, LLC
Organization
Durable Medical Equipment & Medical Supplies3890 REDWINE RD SW SUITE 200
ATLANTA, GA 30331
(404) 474-0006
1447529342PAIN MANAGEMENT OF THE SOUTH
Organization
Anesthesiology (Pain Medicine)3890 REDWINE RD SW SUITE 200
ATLANTA, GA 30331
(678) 904-5499
1871853606MR. PADDYSON CHUKWUKA CHIDI PT
Individual
Physical Therapist3890 REDWINE RD SW SUITE 114
ATLANTA, GA 30331
(404) 344-7880
1083665491DR. NITASHA LARISMA BURNEY MD
Individual
Family Medicine3890 REDWINE RD SW SUITE 104
ATLANTA, GA 30331
(404) 629-9495
1497898662DR. KAY OLUKAYODE OSO M.D.
Individual
Internal Medicine3890 REDWINE RD SW SUITE 210
ATLANTA, GA 30331
(404) 691-6688
1114004959DR. EDDIE HARRIS
Individual
Ophthalmology3890 REDWINE RD SW SUITE 212
ATLANTA, GA 30331
(404) 349-1115
1326263518GEORGIA UROLOGY PA
Organization
Urology3890 REDWINE RD SW SUITE 112
ATLANTA, GA 30331
(404) 766-7151
1538616305 MARION BIANCA TYSON DPT
Individual
Physical Therapist (Orthopedic)3890 REDWINE RD SW SUITE 114
ATLANTA, GA 30331
(404) 344-7880
1588659908DR. DARA PAUL MD
Individual
Obstetrics & Gynecology3890 REDWINE RD SW STE 210
ATLANTA, GA 30331
(404) 346-3417
1861503906CAMP CREEK PRIMARY CARE, PC
Organization
Family Medicine3890 REDWINE RD SW SUITE 100
ATLANTA, GA 30331
(404) 349-2273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922269612, enumerated in the NPI registry as an "organization" on June 24, 2008

The provider is located at 3890 Redwine Rd Sw Suite 100 Atlanta, Ga 30331 and the phone number is (404) 349-2273

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

This NPI record was last updated on June 24, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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