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MISS ETHELIN CAMILLE CAMMOCK MD
NPI 1386208767
Obstetrics & Gynecology in Jefferson, NC

Active since May 01, 2019PECOS Enrolled
200 HOSPITAL AVE, JEFFERSON, NC 28640(336) 846-7101 Get Directions Write a Review

NPPES record last updated: June 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, May 1, 2019 (2 updates tracked since 2019).

About Miss Ethelin Camille Cammock Md NPPES

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

MISS ETHELIN CAMILLE CAMMOCK MD (NPI 1386208767) is an individual obstetrics & gynecology provider in Jefferson, North Carolina, licensed in North Carolina (2023-02051) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386208767
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMISS ETHELIN CAMILLE CAMMOCKCredential: MD
Location Address200 HOSPITAL AVEJefferson, NC 28640-9244
Mailing Address115 Nanzetta WayLewisville, NC 27023-7102 · (605) 660-4360
Phone(336) 846-7101
Sole ProprietorNo
Enumeration DateMay 1, 2019
Last NPPES UpdateJune 1, 20242 updates tracked since enumeration
NPPES CertifiedJune 1, 2024
✔ NPI 1386208767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 2023-02051
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
200 HOSPITAL AVE, Jefferson, NC 28640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Ethelin Camille Cammock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE A AVERILL MD
Obstetrics & Gynecology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
HIGH COUNTRY FAMILY MEDICINE, PA
Family Medicine
200 HOSPITAL AVE, SUITE 7
JEFFERSON, NC 28640
Ashe County (336) 846-7238
SHARON PATRICIA DILLEY MD
Internal Medicine
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7433
DR. JOHN ALVAR SUNDIN M.D.
Surgery
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 846-8939
DR. RONALD WILLIAM BENFIELD MD
Orthopaedic Surgery
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
MOUNT JEFFERSON FAMILY MEDICINE, P.A.
Family Medicine
200 HOSPITAL AVE, SUITE 3
JEFFERSON, NC 28640
Ashe County (336) 846-7433
ASHE MEMORIAL HOSPITAL INC
Specialist/Technologist, Pathology
200 HOSPITAL AVE
JEFFERSON, NC 28640
Ashe County (336) 846-7101
CHARLES W JONES MD PA ENDOSCOPY SUITE
Clinic/Center (Ambulatory Surgical)
200 HOSPITAL AVE, SUITE 5
JEFFERSON, NC 28640
Ashe County (336) 246-7779

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 Ethelin Cammock's NPI number?

The NPI number for Ethelin Cammock is 1386208767. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Ethelin Cammock located?

Ethelin Cammock practices at 200 Hospital Ave, Jefferson, NC 28640. The listed phone number is (336) 846-7101.

What is Ethelin Cammock's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ethelin Cammock enrolled in Medicare?

Yes. Ethelin Cammock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethelin Cammock was last updated on June 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.