MISS ETHELIN CAMILLE CAMMOCK MD
NPI 1386208767
Obstetrics & Gynecology in Jefferson, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Ethelin Camille Cammock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ethelin Cammock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cedar Bluff, VA 24609
- Reassigned Medicare billing, Virginia enrollment
- 52 clinicians in this Medicare group
Newton, MA 02462
- Reassigned Medicare billing, Massachusetts enrollment
- 992 clinicians in this Medicare group
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Ethelin Cammock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethelin Cammock reassigns Medicare benefits to 3 organizations: Clinch Valley Physicians Associates LLC (Cedar Bluff, VA), Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA) and Pratt Ob/Gyn Associates, Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethelin Cammock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethelin Cammock accept?
Health plans from Taro Health list Ethelin Cammock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Miss Ethelin Camille Cammock, MD · NPI 1386208767
Obstetrics & Gynecology physician in Jefferson, North Carolina. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1386208767 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 2023-02051 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 HOSPITAL AVE, Jefferson, NC 28640-9244
- **Phone:** (336) 846-7101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Clinch Valley Physicians Associates LLC (NPI 1821339540, Cedar Bluff, VA); Mass General Brigham Medical Group Suburban Massachusetts Inc (NPI 1538191218, Newton, MA); Pratt Ob/Gyn Associates, Inc (NPI 1336186501, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386208767) · Data from the CMS NPPES public registry.