MR. WILLIE ROY CAMERON LPC
NPI 1588879803
Counselor - Professional in Riverdale, GA

Q: What is Willie Cameron's NPI number?

The NPI number for Willie Cameron is 1588879803. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Willie Cameron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Willie Cameron was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since May 11, 2007PECOS Enrolled

804 COMMERCE BLVD, STE-A12-14, RIVERDALE, GA 30296(770) 994-8960(770) 994-8967 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Willie Roy Cameron Lpc NPPES

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

MR. WILLIE ROY CAMERON LPC (NPI 1588879803) is an individual professional provider in Riverdale, Georgia, licensed in Georgia (LPC004463) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588879803

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. WILLIE ROY CAMERONCredential: LPC

Location Address804 COMMERCE BLVD, STE-A12-14Riverdale, GA 30296-7198

Mailing Address124 S Main St Ste 2032hJonesboro, GA 30236-3599 · (678) 435-7212

Phone(770) 994-8960

Fax(770) 994-8967

Sole ProprietorYes

Enumeration DateMay 11, 2007

Last NPPES UpdateMay 16, 2025

NPPES CertifiedMay 16, 2025

✔ NPI 1588879803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC004463

804 COMMERCE BLVD, Riverdale, GA 30296

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Willie Roy Cameron Lpc 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 7

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

L.T. EXAMS, INC

Clinical Medical Laboratory

804 COMMERCE BLVD, STE D
RIVERDALE, GA 30296

Clayton County (770) 996-4724

MR. EFIONG E. MBABA REGISTERED NURSE

Durable Medical Equipment & Medical Supplies

804 COMMERCE BLVD, SUITE A-32
RIVERDALE, GA 30296

Clayton County (770) 907-0194

FIELD LABS DIAGNOSTICS

Clinical Medical Laboratory

804 COMMERCE BLVD
RIVERDALE, GA 30296

Clayton County (404) 452-2817

MS. APRIL PAULK CPT, CNA

Technician, Pathology (Phlebotomy)

804 COMMERCE BLVD
RIVERDALE, GA 30296

Clayton County (404) 452-2817

HOUSE OF INSPIRATION GROUP HOME, INC

Community/Behavioral Health

804 COMMERCE BLVD, SUITE A2
RIVERDALE, GA 30296

Clayton County (678) 479-7040

SOUTHSIDE INTERNAL MEDICINE PC

Clinic/Center (Primary Care)

804 COMMERCE BLVD, SUITE B
RIVERDALE, GA 30296

Clayton County (770) 997-6644

MAXICARE MEDICAL SUPPLY

Durable Medical Equipment & Medical Supplies

804 COMMERCE BLVD, SUITE A-32
RIVERDALE, GA 30296

Clayton County (770) 907-0194

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 Willie Cameron's NPI number?

The NPI number for Willie Cameron is 1588879803. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Willie Cameron located?

Willie Cameron practices at 804 Commerce Blvd Ste-A12-14, Riverdale, GA 30296. The listed phone number is (770) 994-8960.

What is Willie Cameron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Willie Cameron enrolled in Medicare?

Yes. Willie Cameron is registered in the Medicare PECOS enrollment system.

What insurance does Willie Cameron accept?

Health plans from CareSource and Providence Health Plan list Willie Cameron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Cameron was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.