P Praxis·MD
● Active Type 1 · Individual

DR. Kipp Allen Vancamp, DO

Radiology·Woodstock, GA· NPI 1164460655 · Enumerated 2006 · 19 years on NPI
Vancamp is 1 of 8 radiology providers in Woodstock and 1 of 1280 in Georgia.
NPI age
19 years
Enumerated 2006-06-04
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, KS
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
604 Lovejoy Ln Ste 100
Woodstock, GA 301893634
📞 7702684336fax 4702516063
Mailing address
3333 Riverwood Pkwy Se Ste 250
Atlanta, GA 303393304
📞 7709140116fax 7709554278

Additional practice locations

1 secondary location on file with NPPES.

Location 2
22740 Midland Dr
Shawnee, KS 662263553
📞 9137455300fax 9137455530

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #103575KS license #0525311 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (KS) 106163 BCBS OF KS
01 (KS) 104991 BCBS PROVIDER NUMBER
01 (KS) P00440177 RAILROAD MEDICARE GROUP DG5299
05 (KS) 100234960F
01 (MO) 18484065 BCBS OF KANSAS CITY
01 (KS) P00477479 RR MEDICARE
05 (KS) 1002234960H
01 (KS) KA1066001 KS MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1280 Radiology providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related