THE CAMERON CLINIC PLLC
NPI 1447915277
Clinic/Center - Multi-Specialty in Longview, TX

Active since November 05, 2021
3204 4TH ST, LONGVIEW, TX 75605(903) 501-5056(903) 499-5056 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2025, Dec 2, 2021, Nov 16, 2021 and 1 more (4 updates tracked since 2021).

About The Cameron Clinic Pllc NPPES

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

THE CAMERON CLINIC PLLC (NPI 1447915277) is a healthcare organization registered as a multi-specialty in Longview, Texas and active in the NPI registry since November 2021. The organization lists Benjamin Jacob Cameron, Manager, as its authorized official.

NPPES Registry Identity

NPI1447915277
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTHE CAMERON CLINIC PLLC
Location Address3204 4TH STLongview, TX 75605-5143
Mailing Address3204 4th StLongview, TX 75605-5143 · (903) 501-5056 · Fax (903) 499-5056
Fax(903) 499-5056
Organization SubpartNo
Authorized OfficialBenjamin Jacob CameronManager · (903) 501-5056
Enumeration DateNovember 5, 2021
Last NPPES UpdateFebruary 7, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1447915277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedInternal MedicineTaxonomy 207R00000X
3204 4TH ST, Longview, TX 75605

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Cameron Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20220128001942Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

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

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1356701221
3204 4TH ST
Longview, TX 75605
(903) 501-5056
✔ PECOSSame address
Nurse Practitioner
NPI 1366918328
3204 4TH ST
Longview, TX 75605
(903) 501-5056
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144610106
3204 4TH ST
Longview, TX 75605
(903) 501-5056
✔ PECOSSame address
Nurse Practitioner
NPI 1629246574
2828 4TH ST STE 100
Longview, TX 75605
(903) 903-0903
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1205248424
505 N 6TH ST
Longview, TX 75601
(903) 501-5056
✔ PECOS✔ Accepts Medicare2.9 mi

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

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 The Cameron Clinic PLLC's NPI number?

The NPI number for The Cameron Clinic PLLC is 1447915277. It was assigned to this organization in the NPPES registry on November 5, 2021.

Where is The Cameron Clinic PLLC located?

The Cameron Clinic PLLC is located at 3204 4th St, Longview, TX 75605. The listed phone number is (903) 501-5056.

What is The Cameron Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is The Cameron Clinic PLLC enrolled in Medicare?

Yes. The Cameron Clinic PLLC is registered in the Medicare PECOS enrollment system.

When is The Cameron Clinic PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Cameron Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to The Cameron Clinic PLLC. 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 Internal Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Cameron Clinic PLLC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.