Individual ProviderCamille GarciaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990(980) 442-2000PECOS EnrollmentBased on the most recent information from CMS, provider Camille Garcia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1205489291Provider TypeIndividualFull NameGarcia, CamilleCredentialFNPGenderMaleSole ProprietorNoEnumeration Date7/19/2019Last Updated7/15/2024Contact InformationPractice LocationPractice Address1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990Phone(980) 442-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 19305, Charlotte, NC 28219-9305PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5012017North CarolinaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5012017North Carolina