Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003810862 Individual Practitioner Female Practitioner

Dr. Camron L Johnson Privitera , DO

Pediatrics • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Dr. Camron Johnson Privitera, DO is a registered healthcare professional specializing in Pediatrics in Roanoke, VA. Practice services are available at 5000 BRAMBLETON AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5000 Brambleton Ave Ste B

Roanoke, VA 240184642

Telephone 5402008091
Fax 5407797848

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
74 Specialists

Practicing in Roanoke, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0102201592

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
010072701 (VA)
Commercial Insurance / Payer ID Cigna
6830577 (VA)
Commercial Insurance / Payer ID Southern Health
244013 (VA)
Commercial Insurance / Payer ID John Deere
54088505618 (VA)
Commercial Insurance / Payer ID Anthem
139824 (VA)
Commercial Insurance / Payer ID Aetna
7861556 (VA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 21, 2025

Registered at 5000 BRAMBLETON AVE STE B, ROANOKE, VA 240184642 (Tel: 5402008091)

📍
Updated Business Mailing Address October 21, 2025

Registered at 5000 BRAMBLETON AVE STE B, ROANOKE, VA 240184642 (Tel: 5402008091)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 21 HIGHLAND AVE SE, STE 100, ROANOKE, VA 240132218 (Tel: 5403449213)

📍
Updated Business Mailing Address July 08, 2007

Registered at 21 HIGHLAND AVE SE, STE 100, ROANOKE, VA 240132218 (Tel: 5403449213)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CAMRON JOHNSON PRIVITERA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #0102201592 in VA)

🟢
Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003810862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: January 30, 2026
Sole Proprietor: Yes

Mailing Address

5000 Brambleton Ave Ste B

Roanoke, VA 240184642

Phone: 5402008091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.