Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camp Creek Pediatrics

Organization Pediatrics Physician · NPI 1891065504

Camp Creek Pediatrics is a Pediatrics Physician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012

Practice location Address checks out

495 Virginia Highlands
Fayetteville, GA 30215-8233
Phone: (770) 460-6459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 049655 (GA)

Record details

NPI number1891065504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Dyson — Billing Manager · (770) 745-1070
Other names Charlene Johnson, Md
NPI enumeratedJanuary 11, 2012
Last updated in NPPESJanuary 11, 2012
Mailing address2945 Stone Hogan Connector Rd Sw Ste 201, Atlanta, GA 30331-2839

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