NPI age
14 years
Enumerated 2012-01-11
● Active Type 2 · Organization
Camp Creek Pediatrics
Camp Creek Pediatrics is 1 of 2726 pediatrics organizations in Georgia.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dyson
Billing Manager
Last NPPES update
2012-01-11
Source: monthly bulk 2026-05
How this organization compares
Across 2726 active pediatrics providers in Georgia.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-01Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
495 Virginia Highlands
Fayetteville, GA 302158233
Mailing address
2945 Stone Hogan Connector Rd Sw Ste 201
Atlanta, GA 303312839
Authorized official
Kathy Ann Dyson
Billing Manager
📞 7707451070
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Charlene Johnson, MD
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.