1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. BRADLEY CAMERON PAC
NPI 1689358012
Physician Assistant in Lawrenceville, GA

Active since June 14, 2023
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046(770) 822-5560(770) 822-4989 Get Directions Write a Review

NPPES record last updated: July 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2026, Jun 14, 2023 (2 updates tracked since 2023).

About Mr. Bradley Cameron Pac NPPES

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

MR. BRADLEY CAMERON PAC (NPI 1689358012) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (11792) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1689358012
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRADLEY CAMERONCredential: PAC
Location Address301 PHILIP BLVD STE ALawrenceville, GA 30046-8746
Mailing Address301 Philip Blvd Ste ALawrenceville, GA 30046-8746 · (770) 822-5560 · Fax (770) 822-4989
Phone(770) 822-5560
Fax(770) 822-4989
Sole ProprietorNo
Enumeration DateJune 14, 2023
Last NPPES UpdateJuly 18, 20262 updates tracked since enumeration
NPPES CertifiedJuly 18, 2026
✔ NPI 1689358012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 11792
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 PHILIP BLVD STE A, Lawrenceville, GA 30046
Open in Google Maps ↗

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.

JACQUELINE ELIZABETH TIZOL-URENA PAC
Physician Assistant
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-5560
ELISHIA KATHLEEN CRUMWELL-MACK CNP
Nurse Practitioner
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-5560
DR. SRINIVASA RAO AYINALA MD
Internal Medicine (Gastroenterology)
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-5560
DR. DONALD MINH PHAM M.D.
Internal Medicine (Gastroenterology)
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-5560
SUSAN G COE MD
Internal Medicine (Gastroenterology)
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-5560
CORIE MOUSSIGNAC-DEVILME PAC
Physician Assistant
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-5560
ABIGAIL HUERTA PA
Physician Assistant
301 PHILIP BLVD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-5560

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 Bradley Cameron's NPI number?

The NPI number for Bradley Cameron is 1689358012. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Bradley Cameron located?

Bradley Cameron practices at 301 Philip Blvd Ste A, Lawrenceville, GA 30046. The listed phone number is (770) 822-5560.

What is Bradley Cameron's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bradley Cameron was last updated on July 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.