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

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: October 18, 2026.

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
Open in Google Maps ↗

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, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Willie Cameron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
592 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Willie Cameron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willie Cameron reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willie Cameron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willie Cameron accept?

Health plans from CareSource and UnitedHealthcare 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 17 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.