DR. CAMERON CALDWELL KERSEY (NPI# 1902933229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902933229 |
| Entity Type | Individual |
| Full Name | DR. CAMERON CALDWELL KERSEY |
| Credential | M.D. |
| Practice Address |
717 20th St Columbus GA 31904-8920 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 7066530292 |
| Practice Fax Number | 7066531230 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
00025498 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 793905377J | 05 | |
| GA | RR MEDICARE | P00882624 | 01 |
| Street Address |
717 20TH ST |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-8920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437144508 | Radiology Associates of Columbus PC | Radiology | 717 20th St, Columbus, GA 31904-8920 | 2005-09-15 |
| 1417165465 | Rourke M Stay | Radiology | 717 20th St, Columbus, GA 31902-2787 | 2007-05-21 |
| 1679647267 | Jeremy Ferris | Radiology | 717 20th St, Columbus, GA 31904-8920 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1710220975 | Mina S Makary | Radiology | Department of Radiology, Osu Medical Center, 395 W. 12th Ave, 4th Floor, Columbus, OH 43210 | 2013-04-05 |
| 1619236387 | Christopher Scott Davis | Radiology | 395 W 12th Ave Rm 482, Columbus, OH 43210-1267 | 2012-05-15 |
| 1144591066 | Morton I Goldstein | Radiology | 2142 Maple Bnd, Columbus, OH 43229-6809 | 2012-01-24 |
| 1447563168 | Louis Marone | Radiology | Po Box L3402, Columbus, OH 43260-0001 | 2010-07-22 |
| 1407179062 | Theresa M. March | Radiology | 4937 W Broad Street, Suite 302, Columbus, OH 43228 | 2010-03-10 |
| 1114153467 | Kerry Yolanda Cole | Radiology | 2984 Valley Creek Dr, Columbus, OH 43223-3525 | 2009-06-01 |
| 1760631105 | Frank Michael Mullinix | Radiology | 10601 W Grandview Dr, Columbus, IN 47201-8697 | 2008-09-10 |
| 1508024209 | Clinic Medical Services Company | Radiology | 1550 Kenny Rd, Columbus, OH 43212-2564 | 2008-05-29 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.