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CAMILLA FAMILY MEDICINE
NPI 1649449323
Clinic/Center - Primary Care in Camilla, GA

Active since February 26, 2008
24 N ELLIS ST, CAMILLA, GA 31730(229) 336-7343(229) 336-7400 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camilla Family Medicine NPPES

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

CAMILLA FAMILY MEDICINE (NPI 1649449323) is a healthcare organization registered as a primary care in Camilla, Georgia and active in the NPI registry since February 2008. The organization lists Raymond J Otis, Owner, as its authorized official.

NPPES Registry Identity

NPI1649449323
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDR RAYMOND J OTIS SR PC
Location Address24 N ELLIS STCamilla, GA 31730-1502
Mailing AddressPo Box 348Camilla, GA 31730-0348 · (229) 336-7343 · Fax (229) 336-7400
Phone(229) 336-7343
Fax(229) 336-7400
Organization SubpartNo
Authorized OfficialRaymond J OtisOwner · (229) 336-7343
Enumeration DateFebruary 26, 2008
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1649449323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 42685
Also ListedFamily MedicineTaxonomy 207Q00000X
24 N ELLIS ST, Camilla, GA 31730
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Other Names 1

Doing Business AsCamilla Family Medicine

Other Identifiers 1

Medicaid0720266DGA

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

Other Providers at the Same Location NPPES

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

DR. RAYMOND J OTIS SR. M.D.
Family Medicine
24 N ELLIS ST
CAMILLA, GA 31730
Mitchell County (229) 336-7343

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 Dr Raymond J Otis Sr PC's NPI number?

The NPI number for Dr Raymond J Otis Sr PC is 1649449323. It was assigned to this organization in the NPPES registry on February 26, 2008. The provider is doing business as Camilla Family Medicine.

Where is Dr Raymond J Otis Sr PC located?

Dr Raymond J Otis Sr PC is located at 24 N Ellis St, Camilla, GA 31730. The listed phone number is (229) 336-7343.

What is Dr Raymond J Otis Sr PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Dr Raymond J Otis Sr PC was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.