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DR. CANDACE RENEE CLOCKER M.D.
NPI 1841488905
Pediatrics in South Boston, VA

Active since October 12, 2007PECOS Enrolled
2100 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-8022(434) 517-8370 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Nov 23, 2020, Feb 2, 2017 (3 updates tracked since 2017).

About Dr. Candace Renee Clocker M.d. NPPES

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

DR. CANDACE RENEE CLOCKER M.D. (NPI 1841488905) is an individual pediatrics provider in South Boston, Virginia, licensed in Virginia (0101261852) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Elizabeth City.

NPPES Registry Identity

NPI1841488905
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CANDACE RENEE CLOCKERCredential: M.D.
Location Address2100 WILBORN AVESouth Boston, VA 24592-1628
Mailing Address2100 Wilborn AveSouth Boston, VA 24592-1628 · (434) 517-8022 · Fax (434) 517-8370
Phone(434) 517-8022
Fax(434) 517-8370
Sole ProprietorYes
Enumeration DateOctober 12, 2007
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1841488905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0101261852✔ Licensed in NC · 2013-01833
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 33110 (SC)
2100 WILBORN AVE, South Boston, VA 24592
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Secondary Practice Location 1

Location 11141 N Road St Ste MElizabeth City, NC 27909-3354 · Phone (252) 384-2590

Other Identifiers 1

Other33110SC · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Candace Renee Clocker M.d. 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 24592 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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 6

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

ROGER W BROWNE MD
Internal Medicine
2100 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-6946
SENECCA ELLIOTT KIRKHART CPNP
Nurse Practitioner (Pediatrics)
2100 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-8022
MARIA PRECIOUS TANGAN TORRES MD
Pediatrics
2100 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-8022
AKPOMEVIGHO A AVBOVBO
Pediatrics
2100 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-8022
HALIFAX EAR NOSE AND THROAT CENTER PC
Specialist
2100 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4394
HALIFAX REGIONAL HOSPITAL, INC
Clinic/Center (Rural Health)
2100 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-8022

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 Candace Clocker's NPI number?

The NPI number for Candace Clocker is 1841488905. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Candace Clocker located?

Candace Clocker practices at 2100 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-8022.

What is Candace Clocker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Candace Clocker enrolled in Medicare?

Yes. Candace Clocker is registered in the Medicare PECOS enrollment system.

What insurance does Candace Clocker accept?

Health plans from Blue Cross and Blue Shield of NC list Candace Clocker 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 Candace Clocker was last updated on March 7, 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.