NPIMap

Organization Active NPI

Camrock Medical Clinic, PLLC

  • Family Nurse Practitioner
  • Rockdale, TX
National Provider Identifier
1811513989
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CAMROCK MEDICAL CLINIC, PLLC
Practice address
602 N Main St Ste D
Rockdale, TX 76567-2323
Phone
(512) 446-2277
Fax
(512) 548-9098
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terri Buchanan, NPNPI 1679068795
Title
Owner/ NP
Phone
(512) 446-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

602 N Main St Ste D
Rockdale, TX 76567-2323

Mailing address

602 N Main St
Rockdale, TX 76567-2323
Phone (512) 446-2277

Other practice location 1

201 N Fannin Ave
Cameron, TX 76520-3363
Phone (512) 446-2277

Other names 2

  • CamRock Clinic Doing business as
  • CamRock Medical CLinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819002605 TX Part B Supplier - Clinic/Group Practice 3274959325 Receives reassigned benefits from 9 practitioners
Practice locations: Rockdale, TX; Cameron, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2191414Camrock Medical Clinic, PLLC602 N Main Street Ste D, Rockdale, TX 76567Certificate of waiverAug 25, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1811513989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765672323",
            "telephone_number": "512-446-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST STE D",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765672323",
            "telephone_number": "512-446-2277",
            "fax_number": "512-548-9098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Fannin Ave",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "TX",
            "postal_code": "765203363",
            "country_code": "US",
            "telephone_number": "512-446-2277",
            "fax_number": "833-645-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMROCK MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER/ NP",
        "authorized_official_telephone_number": "512-446-2277",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CamRock Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CamRock Medical CLinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockdale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.