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DR. CAMILLE ATALLAH M.D.
NPI 1104903814
Specialist in Statesboro, GA

Active since November 01, 2006PECOS Enrolled
1058 BERMUDA RUN ROAD, STATESBORO, GA 30458(912) 871-7100(912) 871-7110 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Camille Atallah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAMILLE ATALLAH M.D. (NPI 1104903814) is an individual specialist in Statesboro, Georgia, licensed in Georgia (047289) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104903814
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CAMILLE ATALLAHCredential: M.D.
Location Address1058 BERMUDA RUN ROADStatesboro, GA 30458
Mailing AddressPo Box 1639Statesboro, GA 30459-1639 · (912) 871-7100 · Fax (912) 871-7110
Phone(912) 871-7100
Fax(912) 871-7110
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104903814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 047289
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1058 BERMUDA RUN ROAD, Statesboro, GA 30458
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Other Identifiers 5

Other582449176GA · Cedar Surgical Associates
Medicare UPINH01071GA
Other020052432GA · Railroad Medicare
Medicare ID-Type Unspecified02BBCMJGA
Medicaid00827681BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Camille Atallah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA MARIE SPAHOS MD
Surgery
1058 BERMUDA RUN ROAD
STATESBORO, GA 30458
Bulloch County (912) 871-7100
DR. JEAN-CLAUDE DAVID SCHWARTZ M.D.
Surgery
1058 BERMUDA RUN ROAD
STATESBORO, GA 30458
Bulloch County (912) 871-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Atallah's NPI number?

The NPI number for Camille Atallah is 1104903814. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Camille Atallah located?

Camille Atallah practices at 1058 Bermuda Run Road, Statesboro, GA 30458. The listed phone number is (912) 871-7100.

What is Camille Atallah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Camille Atallah enrolled in Medicare?

Yes. Camille Atallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camille Atallah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.