Wellformed AI

NPI 1609829274 · live from the CMS NPI Registry

Cameron Michael Bergin, PA

Physician Assistant, Surgical in Gainesville, GA. National Provider Identifier 1609829274, active.

NPI record

NPI1609829274 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Surgical 363AS0400X
Practice location743 Spring St Ne, Gainesville, GA 30501
Practice phone770-219-9000
Mailing addressPo Box 742616, Atlanta, GA 30374
EnumeratedMay 17, 2006
Last updatedJanuary 27, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Surgical363AS0400XPA1847 (NV)
Physician Assistant363A00000X3116 (GA)
Physician Assistant, Surgical primary363AS0400X10445 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.