Fairmount Family Medicine PLLC
NPI 1659491421 · Family Medicine Physician · Camillus, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairmount Family Medicine PLLC is a Family Medicine Physician organization in Camillus, NY (NPI 1659491421).
Provider details
- NPI number
- 1659491421
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leland Jackson, Owner(315) 234-2342
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Camillus Family Health Assoc
- Doing business as
- Camillus Family Health Assoc
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is Fairmount Family Medicine PLLC's NPI number?
- Fairmount Family Medicine PLLC's National Provider Identifier (NPI) is 1659491421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairmount Family Medicine PLLC?
- Fairmount Family Medicine PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fairmount Family Medicine PLLC located?
- Fairmount Family Medicine PLLC's practice location on file with NPPES is 5006 West Genesee Street, Camillus, NY 13031-2326.
- What is Fairmount Family Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fairmount Family Medicine PLLC is (315) 234-2342.
- Does Fairmount Family Medicine PLLC accept Medicare?
- Fairmount Family Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairmount Family Medicine PLLC?
- The authorized official listed on Fairmount Family Medicine PLLC's NPPES record is Leland Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairmount Family Medicine PLLC's NPI active?
- Yes — Fairmount Family Medicine PLLC's NPI (1659491421) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.