DR. CANDACE M MARTIN (NPI# 1245261627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245261627 |
| Entity Type | Individual |
| Full Name | DR. CANDACE M MARTIN |
| Credential | PSYD |
| Practice Address |
1061 Harmon Ave Ste 1d03 Winn Army Community Hospital Fort Stewart GA 31314-5674 |
| Mailing Address |
1061 Harmon Ave Ste 1d03 Winn Army Community Hospital Fort Stewart GA 31324-5674 |
| Practice Telephone | 9127677301 |
| Mailing Telephone | 9127677301 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
26854 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 87071A | 01 |
| TX | 165912003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114137080 | Candace Louise Martin | Psychologist | 6319 Constitution Dr, Fort Wayne, IN 46804-1547 | 2007-05-22 |
| 1043435860 | Candace Clark Martin | Psychologist | 470 W End Ave # 1aa, New York, NY 10024-4933 | 2007-04-16 |
| 1396187738 | Candace Clay Martin | Counselor | 2420 Fannin St, Houston, TX 77002-9114 | 2013-07-26 |
| Street Address |
1061 HARMON AVE STE 1D03 WINN ARMY COMMUNITY HOSPITAL |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381570 | Deborah Greggs Loughney | Pharmacist | 1061 Harmon Ave Ste 1d03, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2005-07-22 |
| 1740710102 | Billie Niehoff | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2017-06-18 |
| 1013378892 | Selina Marie Pooser | Physician Assistant | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2016-03-08 |
| 1497128383 | Cheryl L Maddox | Military Health Care Provider | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5674 | 2015-11-02 |
| 1255712006 | Robert Lawrence IIi | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-06-17 |
| 1558753632 | Dallin Mitchell | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-02-25 |
| 1205230224 | Shaundra Robinson | Registered Nurse | 1061 Harmon Ave Ste 1d03, Bldg. 308, Fort Stewart, GA 31314-5641 | 2014-10-20 |
| 1851792436 | Michelle Bunting | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-15 |
| 1124429709 | Sandra Tina Watkins | Licensed Practical Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-15 |
| 1952702383 | Christine Willey Macko | Registered Nurse | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962689687 | Jessica Parker | Psychologist | 1061 Harmon Ave Ste 1do3, Fort Stewart, GA 31314-5641 | 2008-01-24 |
| 1023593480 | Katherine Elizabeth Lunsford | Psychologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2018-10-01 |
| 1720593692 | Matthew Moosey | Psychologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2017-12-13 |
| 1972992469 | Stephen Holwerda | Psychologist | 1061 Harmon Ave, Ft. Stewart, Fort Stewart, GA 31314-5641 | 2015-01-21 |
| 1558785691 | Philip Murawski | Psychologist | 1061 Harmon Avenue Ste 1d03, Fort Stewart, GA 31314-5674 | 2014-02-10 |
| 1477980571 | Michel J Celestin | Psychologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2013-10-03 |
| 1700211539 | Bethany Griggs | Psychologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2013-09-11 |
| 1023361391 | Elizabeth Powell | Psychologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2012-10-23 |
| 1508138645 | Karl Umbrasas | Psychologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2012-02-06 |
| 1700156726 | Gabriel Diaz | Psychologist | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2012-01-06 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on DR. CANDACE M MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.