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CAMERON SPINE LLC
NPI 1396054938
Pain Medicine - Interventional Pain Medicine in Loxahatchee, FL

Active since September 30, 2010CLIA 10D2138993 · Waiver
12989 SOUTHERN BLVD, SUITE 202, LOXAHATCHEE, FL 33470(877) 412-7272(561) 967-0954 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cameron Spine Llc NPPES

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

CAMERON SPINE LLC (NPI 1396054938) is a healthcare organization registered as an interventional pain medicine in Loxahatchee, Florida and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Blaine Simone Cameron, Owner/principal, as its authorized official.

NPPES Registry Identity

NPI1396054938
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCAMERON SPINE LLC
Location Address12989 SOUTHERN BLVD, SUITE 202Loxahatchee, FL 33470
Mailing Address6586 Hypoluxo Rd, Ste 334Lake Worth, FL 33467 · (877) 412-7272 · Fax (561) 967-0954
Phone(877) 412-7272
Fax(561) 967-0954
Organization SubpartNo
Authorized OfficialBlaine Simone CameronOwner/principal · (954) 530-2643
Enumeration DateSeptember 30, 2010
Last NPPES UpdateAugust 16, 2018
✔ NPI 1396054938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in FL · ME86864
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
12989 SOUTHERN BLVD, Loxahatchee, FL 33470
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Cameron Spine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ketty Letang, NURSE PRACTITIONER
Nurse Practitioner
NPI 1598210858
12989 SOUTHERN BLVD STE 202
Loxahatchee, FL 33470
(877) 412-7272
✔ PECOS✔ Accepts MedicareSame address
Nikeesha Gowkaran, FNP-BC
Nurse Practitioner
NPI 1851109243
2183 MAN OF WAR
West Palm Beach, FL 33411
(954) 235-0896
✔ PECOS✔ Accepts Medicare4.8 mi
Charmaine Dixon, APRN
Nurse Practitioner
NPI 1639734619
4876 N MORSELIFE DR
West Palm Beach, FL 33417
(561) 868-2999
✔ PECOS✔ Accepts Medicare9.4 mi
Blaine Cameron, MD
Interventional Pain Management
NPI 1912950023
6080 BOYNTON BEACH BLVD #100
Boynton Beach, FL 33437
(877) 412-7272
✔ PECOS✔ Accepts Medicare13 mi
Sharissa Youngblood, APRN
Nurse Practitioner
NPI 1689143422
6080 BOYNTON BEACH BLVD STE 100
Boynton Beach, FL 33437
(877) 412-7272
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2138993

Cameron Spine · Wellington, FL
Active · expires Oct 26, 2027
CLIA Number10D2138993
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorBlain S. Cameron
Laboratory Phone(877) 412-7272
Laboratory LocationCameron Spine12300 South Shore Blvd Suite 204, Wellington, FL 33414
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2016015

Cameron Spine · Plantation, FL
Expired · Nov 8, 2026
CLIA Number10D2016015
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorDr. Blaine Cameron
Laboratory Phone(877) 412-7272
Laboratory LocationCameron Spine201 N Pine Island Rd, Plantation, FL 33324
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cameron Spine LLC's NPI number?

The NPI number for Cameron Spine LLC is 1396054938. It was assigned to this organization in the NPPES registry on September 30, 2010.

Where is Cameron Spine LLC located?

Cameron Spine LLC is located at 12989 Southern Blvd Suite 202, Loxahatchee, FL 33470. The listed phone number is (877) 412-7272.

What is Cameron Spine LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Cameron Spine LLC enrolled in Medicare?

Yes. Cameron Spine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cameron Spine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Cameron Spine LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Interventional Pain Management (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cameron Spine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2138993) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cameron Spine LLC was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.